SearchIllinois1223P0300X

Jingyuan Fan, DDS

NPI 1952718629 · on the registry since 2014

Practice

Address
3450 Lacey Road
Downers Grove, IL 60515
Phone
(630) 743-4967
Fax
(630) 743-4537
Organisation at this address
Midwestern University
Midwestern University
Midwestern University
Midwestern University
Midwestern University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
116

Registry record

Primary taxonomy
1223P0300X
1223P0300X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-20

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