Fang, Marissa

Fang, Marissa is an individual health care provider with primary practice located at 210 N Madison St , Hinsdale IL 60521-3241. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Fang, Marissa can be contacted via phone (630) 861-4200.

Contact Information

Primary practice address
210 N Madison St Hinsdale IL 60521-3241
Phone: (630) 861-4200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 2418650 Illinois

Profile Details

NPI number 1891464475
LBN Legal business name Fang, Marissa
Credentials ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2021
Last updated Sep 8th, 2021 - about 3 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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