ROGER FONG

CHICAGO, IL
NPI1821352915
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070013559)
Additional Taxonomies171100000X Acupuncturist
(Licence: IL  198001289)
Enumeration Date2012-07-03
Last Update Date2023-10-30
Business Address
MR. ROGER FONG MPT
4835 S LANGLEY AVE
CHICAGO, IL 60615-1515
Phone number: 312-403-1853
Mailing Address
MR. ROGER FONG MPT
1525 E 53RD ST STE 814
CHICAGO, IL 60615-4572
Phone number: 312-403-1853