Provider Demographics
NPI:1295781771
Name:CHUANG, ILIN (MD)
Entity type:Individual
Prefix:
First Name:ILIN
Middle Name:
Last Name:CHUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:749 BARNUM WAY
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-2424
Mailing Address - Country:US
Mailing Address - Phone:602-364-3859
Mailing Address - Fax:
Practice Address - Street 1:150 N. 18TH AVE., SUITE 150
Practice Address - Street 2:ARIZONA DEPART. OF HEALTH SERVICES
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85007
Practice Address - Country:US
Practice Address - Phone:602-364-3859
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2104862080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases