Provider Demographics
NPI:1902916125
Name:HUANG, CINDY F (FNP; PHD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:F
Last Name:HUANG
Suffix:
Gender:F
Credentials:FNP; PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:IL
Mailing Address - Zip Code:62301-2708
Mailing Address - Country:US
Mailing Address - Phone:217-228-0252
Mailing Address - Fax:
Practice Address - Street 1:729 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:IL
Practice Address - Zip Code:62301-2708
Practice Address - Country:US
Practice Address - Phone:217-228-0252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center