Provider Demographics
NPI:1063677292
Name:CHENG, HILARY NAI-KWONG (DDS)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:NAI-KWONG
Last Name:CHENG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 KINGERY HWY. STE 416,
Mailing Address - Street 2:BOX 138,
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527
Mailing Address - Country:US
Mailing Address - Phone:312-791-1829
Mailing Address - Fax:312-791-1819
Practice Address - Street 1:2165A S CHINA PL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-1536
Practice Address - Country:US
Practice Address - Phone:312-791-1829
Practice Address - Fax:312-791-1819
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-163771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice