Provider Demographics
NPI:1265688410
Name:HONG, GUANG 'HARRY' (PHD, LAC)
Entity Type:Individual
Prefix:DR
First Name:GUANG 'HARRY'
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:PHD, LAC
Other - Prefix:DR
Other - First Name:HARRY
Other - Middle Name:
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:8177 WEST GLADES RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33434-4071
Mailing Address - Country:US
Mailing Address - Phone:954-682-1749
Mailing Address - Fax:
Practice Address - Street 1:200 W HIGGINS RD
Practice Address - Street 2:SUITE 318A
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3718
Practice Address - Country:US
Practice Address - Phone:847-922-4156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198-000022171100000X
FLAP3154171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist