person
Jacob Samson Fang, MD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1386404499

Jacob Samson Fang is a Student in an Organized Health Care Education/Training Program based in Salt Lake City, IL. Jacob Samson Fang practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Jacob Samson Fang is 1386404499 and holds a License No. (Illinois).

The current practice location address for Jacob Samson Fang is 2900 N Lake Shore Dr, Chicago, IL and can be reached out via phone at 773-665-3000.

Location: 2900 N Lake Shore Dr, Chicago, IL, 84108-1304
person
Provider Profile Details
NPI Number
1386404499
Provider Name
Jacob Samson Fang
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2900 N Lake Shore Dr, Chicago, IL, 84108-1304
Phone Number
773-665-3000
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2900 N Lake Shore Dr
City
State
Zip
60657-5640
Phone Number
773-665-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2900 N Lake Shore Dr
City
State
Zip
60657-5640
Phone Number
773-665-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
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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