Most Relevant Information
Provider Data
NPI Number: | 1003598996 |
Provider Name: | MINI CHENG |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 08/01/2023 |
Last Updated: | 08/01/2023 |
Provider Practice Location
1641 N MILWAUKEE AVE STE 9
LIBERTYVILLE
IL
600481350
Practice Location Phone/Fax
Phone: | 7733123621 |
Fax: |
Provider Mailing Location
543 HERMITAGE DR
DEERFIELD
IL
600154444
Provider Mailing Phone/Fax
Phone: | 7735692238 |
Fax: |