DR. JIMMY FUNG (NPI# 1447240403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447240403 |
| Entity Type | Individual |
| Full Name | DR. JIMMY FUNG |
| Credential | D.D.S. |
| Practice Address |
1011 Lake St Suite 417 Oak Park IL 60301-1148 |
| Practice Telephone | 7083866400 |
| Mailing Telephone | 7083866400 |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
17191 | IL | Dental Providers |
| Street Address |
1011 LAKE ST SUITE 417 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-1148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447660519 | Watson Chiropractic, LLC | Chiropractor | 1011 Lake St, #216, Oak Park, IL 60301-1148 | 2014-04-29 |
| 1902236979 | Sarah J Watson | Chiropractor | 1011 Lake St, Suite #216, Oak Park, IL 60301-1148 | 2013-11-12 |
| 1841531456 | Rush Oak Park Physicians Group Lake Street | Internal Medicine | 1011 Lake St, Suite 300, Oak Park, IL 60301-1148 | 2013-03-06 |
| 1427387968 | Charles Allen Hughes | Counselor | 1011 Lake St, Ste 433, Oak Park, IL 60301-1148 | 2009-12-11 |
| 1801049093 | William H. Egan M.d.,s.c. | Psychiatry & Neurology | 1011 Lake St, Ste 418, Oak Park, IL 60301-1148 | 2008-10-31 |
| 1083802532 | Dr. Lawrence James Jr. PC | Psychologist | 1011 Lake St, Suite 435, Oak Park, IL 60301-1148 | 2007-10-10 |
| 1306032297 | Peter Grant, Md, Ltd | Clinic/Center | 1011 Lake St, Suite 300, Oak Park, IL 60301-1148 | 2007-09-24 |
| 1427112697 | Paul Clifford Ellstein | Chiropractor | 1011 Lake St, Suite 407, Oak Park, IL 60301-1148 | 2006-12-21 |
| 1104980358 | Paul C. Ellstein Chiropractic Physicians, S.c. | Chiropractor | 1011 Lake St, Suite 407, Oak Park, IL 60301-1148 | 2006-12-21 |
| 1912060765 | Marion Elizabeth Page | Psychiatry & Neurology | 1011 Lake St, Suite 411, Oak Park, IL 60301-1148 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780235655 | Walter Kelley Farris | Dentist | 1515 N Harlem Ave Ste 200, Oak Park, IL 60302-1277 | 2019-09-23 |
| 1629620273 | Fandah A. Hamdi | Dentist | 1136 Pleasant St Apt 2e, Oak Park, IL 60302-3043 | 2019-07-14 |
| 1245799956 | Tad A Erickson Dds A Dental Corporation | Dentist | 346 Kanan Rd Ste 101, Oak Park, CA 91377-1165 | 2019-03-13 |
| 1891259768 | D2 Dental of Lansing, P.C. | Dentist | 1 Chicago Ave, Oak Park, IL 60302-2432 | 2019-01-24 |
| 1104259407 | Ruoyu Pang | Dentist | 340 S Austin Blvd, Apt 3k, Oak Park, IL 60304-1743 | 2013-08-10 |
| 1962843771 | Sinan A Shisha | Dentist | 13231 W 10 Mile Rd, Oak Park, MI 48237-4631 | 2013-07-09 |
| 1295173953 | Oak Park Dental Studio | Dentist | 6630 Roosevelt Rd, Oak Park, IL 60304-2059 | 2013-06-04 |
| 1255623450 | Maria Cristina Velarde | Dentist | 608 Lindero Canyon Rd, Oak Park, CA 91377-5455 | 2011-05-05 |
| 1740515568 | James E Scapillato | Dentist | 6943 North Ave, Oak Park, IL 60302-1024 | 2009-10-13 |
| 1851529382 | Chicago Dental Spa, Ltd. | Dentist | 106 S Ridgeland Ave, #408, Oak Park, IL 60302-4613 | 2009-06-23 |
| Find all providers in OAK PARK | ||||
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| 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.