Provider Demographics
NPI:1548655145
Name:FENG, XIAOHUA
Entity type:Individual
Prefix:
First Name:XIAOHUA
Middle Name:
Last Name:FENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 W JACKSON BLVD STE 925
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-3845
Mailing Address - Country:US
Mailing Address - Phone:312-588-6200
Mailing Address - Fax:312-680-7726
Practice Address - Street 1:53 W JACKSON BLVD STE 925
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604-3845
Practice Address - Country:US
Practice Address - Phone:312-588-6200
Practice Address - Fax:312-680-7726
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-31
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361452182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry