SearchIllinois224Z00000X

Edward Tiongson

NPI 1164896353 · on the registry since 2015 · sole proprietor

Practice

Address
5701 N Kimball Ave
Bsmt Apt
Chicago, IL 60659
Phone
(773) 540-6638

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois