Individual
ELIZABETH H FUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2524 N LINCOLN AVE, LINCOLN PARK PSYCHOLOGICAL ASSOCIATE - SUITE J, CHICAGO, IL 60614-2473
(773) 477-0584
(773) 477-0584
Mailing address
421 W WEBSTER AVE, CHICAGO, IL 60614-3812
(773) 477-0584
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.001352
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.001352
LCSW
IL
Enumeration date
03/29/2007
Last updated
07/08/2007
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