DR. HUANG, XIURONG CLINIC, INC.


Address: 222 W 26th St, Unit B, Chicago, IL 60616-4296
Phone: 3122259012

DR. HUANG, XIURONG CLINIC, INC. (NPI# 1184746422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184746422
Entity Type Organization
Organization Name DR. HUANG, XIURONG CLINIC, INC.
Other Organization Name DR. HUANG CLINIC
Practice Address 222 W 26th St
Unit B
Chicago
IL 60616-4296
Mailing Address Po Box 167207
Chicago
IL 60616-7207
Practice Telephone 3122259012
Practice Fax Number 3122259013
Enumeration Date 2007-04-06
Last Update Date 2020-03-26
Authorized Official Name DR. XIURONG LIU HUANG (PRESIDENT)
Authorized Official Telephone 3122259012
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
036096677 IL Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL 036096677 05

Other Provider/Organization Names

Other Name Type Code
Dr. Huang Clinic Doing Business As Name - Organization

Office Location

Street Address 222 W 26TH ST
UNIT B
City CHICAGO
State IL
Zip Code 60616-4296

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093820409 Xiurong Liu Huang Family Medicine 222 W 26th St, Unit B, Chicago, IL 60616-4296 2006-08-19
1902924889 All Family Dental Dentist 222 W 26th St, Chicago, IL 60616-4296 2007-03-27

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City CHICAGO
Zip Code 60616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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