Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036122078 | IL |
N | 207XS0106X | Orthopaedic Hand Surgeon | 036122078 | IL |
NPI | 1013110519 |
---|---|
Provider Name | Dr. Chris Huang |
First Address | Chicago, IL 60674-0018 |
Second Address | Westmont, IL 60559-1419 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2007 |
Last Update Date | 08/02/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036122078 | (05) | IL |
P000737764 | RR MEDICARE (01) | IL |