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Contact Information

MING XU, MD
21 HERITAGE DRIVE
SUITE 102
BOURBONNAIS, IL60914
 Phone: 815-937-8204
 Fax: 815-937-8798
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MING XU · (Male)

NPI # 1548271018
Status Active
Credentials MD
Entity Individual
Enumeration date 08/10/2006
Last updated 03/18/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036101005
  • IL Medicaid 036101005
Hospital affiliation(s)
  • PROVENA ST MARYS HOSPITAL - (Acute Care)
    500 W COURT ST
    KANKAKEE, IL 60901
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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