Provider Demographics
NPI:1598775157
Name:FEI, HONGWYAN (DMD)
Entity Type:Individual
Prefix:
First Name:HONGWYAN
Middle Name:
Last Name:FEI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:FEI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:11141 S KEDZIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60655-2329
Mailing Address - Country:US
Mailing Address - Phone:773-779-1606
Mailing Address - Fax:
Practice Address - Street 1:11141 S KEDZIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60655-2329
Practice Address - Country:US
Practice Address - Phone:773-779-1606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice