Provider Demographics
NPI:1710210059
Name:HUA, LING (PA-C)
Entity Type:Individual
Prefix:
First Name:LING
Middle Name:
Last Name:HUA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 W BRIAR PL
Mailing Address - Street 2:APT 2N
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-4661
Mailing Address - Country:US
Mailing Address - Phone:617-407-8076
Mailing Address - Fax:
Practice Address - Street 1:540 W BRIAR PL
Practice Address - Street 2:APT 2N
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-4661
Practice Address - Country:US
Practice Address - Phone:617-407-8076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-17
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant