Eng, Eudora

Eng, Eudora is an individual health care provider with primary practice located at 333 E Huron St Lakeside Veterans Administration Clinic, Chicago IL 60611-3004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Eng, Eudora can be contacted via phone (312) 469-3374.

Contact Information

Primary practice address
333 E Huron St Lakeside Veterans Administration Clinic Chicago IL 60611-3004
Phone: (312) 469-3374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X Illinois

Profile Details

NPI number 1639261621
LBN Legal business name Eng, Eudora
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639261621 NPPES
Illinois MEDICAID E76394

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