| Dr Chi Ming Henry Fung, DDS | |
| 
					821 S Oak Park Ave, Oak Park, IL 60304-1217  | |
| (708) 383-8228 | |
| (708) 383-8288 | 
| Full Name | Dr Chi Ming Henry Fung | 
|---|---|
| Gender | Male | 
| Speciality | Dentist - Oral And Maxillofacial Surgery | 
| Location | 821 S Oak Park Ave, Oak Park, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1528122512 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 021001360 (Illinois) | Primary | 
| Entity Name | Cook County | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Chi Ming Henry Fung, DDS 821 S Oak Park Ave, Oak Park, IL 60304-1217 Ph: (708) 383-8228  | Dr Chi Ming Henry Fung, DDS 821 S Oak Park Ave, Oak Park, IL 60304-1217 Ph: (708) 383-8228  | 
Dr. Radmila Stevanovic, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1 Chicago Ave, Oak Park, IL 60302 Phone: 708-948-7744  | |
Nina Astaraei, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1100 Lake St Ste 140, Oak Park, IL 60301 Phone: 708-666-1234  | |
Dr. Anna Marie Drakopoulos, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1 Chicago Ave, Oak Park, IL 60302 Phone: 773-456-7071  | |
Dr. Judy R Burgess-drain, DDS Dentist Medicare: Medicare Enrolled Practice Location: 840 S Oak Park Ave, Suite 214, Oak Park, IL 60304 Phone: 708-383-1234 Fax: 708-383-3578  | |
Krystle Grandberry Widen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1113 Chicago Ave, Oak Park, IL 60302 Phone: 708-383-0500  | |
Dr. Wanda Laszcz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 320 Lake St, Oak Park, IL 60302 Phone: 708-848-0528  | |
Dr. Emily Jane Taylor, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 831 Gunderson Ave, Oak Park, IL 60304 Phone: 860-305-4336  |