Most Relevant Information
Provider Data
| NPI Number: | 1003276957 |
| Provider Name: | MICHAEL FUNG PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC1900X |
| Specialty: | Psychologist |
| License Number: | 3420-57 |
Most Important Dates
| Enumeration Date: | 03/03/2016 |
| Last Updated: | 12/07/2016 |
Provider Practice Location
820 S DAMEN AVE
CHICAGO
IL
606123728
Practice Location Phone/Fax
| Phone: | 3125696975 |
| Fax: |
Provider Mailing Location
820 S DAMEN AVE
CHICAGO
IL
606123728
Provider Mailing Phone/Fax
| Phone: | 3125696975 |
| Fax: |