Provider Demographics
NPI:1073818068
Name:HUANG, ZHENG (LAC, DIPL)
Entity Type:Individual
Prefix:DR
First Name:ZHENG
Middle Name:
Last Name:HUANG
Suffix:
Gender:M
Credentials:LAC, DIPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2002 S WENTWORTH AVE
Mailing Address - Street 2:UNIT B 18
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60616-2024
Mailing Address - Country:US
Mailing Address - Phone:773-312-1924
Mailing Address - Fax:
Practice Address - Street 1:2002 S WENTWORTH AVE
Practice Address - Street 2:UNIT B 18
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-2024
Practice Address - Country:US
Practice Address - Phone:773-312-1924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-21
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000897171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist