Provider Demographics
NPI:1689644858
Name:TSENG, JANET YEN LING (OD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:YEN LING
Last Name:TSENG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1533 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-4608
Mailing Address - Country:US
Mailing Address - Phone:847-391-6988
Mailing Address - Fax:847-391-6989
Practice Address - Street 1:1553 MARKET STREET
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:847-391-6988
Practice Address - Fax:847-391-6989
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILV07872Medicare UPIN
ILK29741Medicare ID - Type UnspecifiedPROVIDER NUMBER