Fung, Jimmy

Fung, Jimmy is an individual health care provider with primary practice located at 1011 Lake St Suite 417, Oak Park IL 60301-1148. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fung, Jimmy can be contacted via phone (708) 386-6400.

Contact Information

Primary practice address
1011 Lake St Suite 417 Oak Park IL 60301-1148
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17191 Illinois

Profile Details

NPI number 1447240403
LBN Legal business name Fung, Jimmy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 8th, 2007 - about 17 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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