Provider Demographics
NPI:1639285604
Name:FENG, FRANCES QING (MS,RD,LDN)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:QING
Last Name:FENG
Suffix:
Gender:F
Credentials:MS,RD,LDN
Other - Prefix:MRS
Other - First Name:QING
Other - Middle Name:
Other - Last Name:FENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23548 N ELM RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-2200
Mailing Address - Country:US
Mailing Address - Phone:847-721-1041
Mailing Address - Fax:
Practice Address - Street 1:1000 BUTTERFIELD RD
Practice Address - Street 2:SUITE 1007
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-1312
Practice Address - Country:US
Practice Address - Phone:847-968-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered