1639285604 NPI number — MRS. FRANCES QING FENG MS,RD,LDN

Table of content: MRS. FRANCES QING FENG MS,RD,LDN (NPI 1639285604)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639285604 NPI number — MRS. FRANCES QING FENG MS,RD,LDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FENG
Provider First Name:
FRANCES
Provider Middle Name:
QING
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MS,RD,LDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FENG
Provider Other First Name:
QING
Provider Other Middle Name:
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639285604
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23548 N ELM RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINCOLNSHIRE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60069-2200
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
847-721-1041
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1000 BUTTERFIELD RD
Provider Second Line Business Practice Location Address:
SUITE 1007
Provider Business Practice Location Address City Name:
VERNON HILLS
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60061-1312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
847-968-5511
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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