Provider Demographics
NPI:1174960934
Name:TU, MICHAEL JENG-MING (DO)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:JENG-MING
Last Name:TU
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1325 HOWARD ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3766
Mailing Address - Country:US
Mailing Address - Phone:312-423-4200
Mailing Address - Fax:847-905-0490
Practice Address - Street 1:1325 HOWARD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3766
Practice Address - Country:US
Practice Address - Phone:312-423-4200
Practice Address - Fax:847-905-0490
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-03
Last Update Date:2016-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-138819207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine