Provider Demographics
NPI:1922409051
Name:TSANG, LAI ON
Entity Type:Individual
Prefix:
First Name:LAI ON
Middle Name:
Last Name:TSANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2751 W PERSHING RD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60632-1630
Mailing Address - Country:US
Mailing Address - Phone:312-927-8977
Mailing Address - Fax:
Practice Address - Street 1:2751 W PERSHING RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60632-1630
Practice Address - Country:US
Practice Address - Phone:312-927-8977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-08
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.342593163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse