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Melissa Jiayu Fang, MD
Diagnostic Radiology Physician in Maywood, Illinois
NPI 1376121715

Melissa Jiayu Fang is a Diagnostic Radiology Physician based in Maywood, IL and is specialized in Diagnostic Radiology. Melissa Jiayu Fang practices in Maywood, IL and has the professional credentials of MD. The NPI Number for Melissa Jiayu Fang is 1376121715 and holds a License No. 1376121715 (Illinois).

The current practice location address for Melissa Jiayu Fang is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-327-1200.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376121715
Provider Name
Melissa Jiayu Fang
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
708-327-1200
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-327-1200
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-327-1200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
125079211 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
1376121715 (New Mexico)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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