Provider Demographics
NPI:1972847788
Name:DONG, HUI
Entity Type:Individual
Prefix:MRS
First Name:HUI
Middle Name:
Last Name:DONG
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 1:29735 BUTTERFLY CT
Mailing Address - Street 2:
Mailing Address - City:LAKE BLUFF
Mailing Address - State:IL
Mailing Address - Zip Code:60044-1169
Mailing Address - Country:US
Mailing Address - Phone:847-535-9638
Mailing Address - Fax:
Practice Address - Street 1:49 SHERWOOD TER
Practice Address - Street 2:EVERGREEN OFFICE BUILDING, SUITE J
Practice Address - City:LAKE BLUFF
Practice Address - State:IL
Practice Address - Zip Code:60044-2231
Practice Address - Country:US
Practice Address - Phone:847-533-3621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL198.000962171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist