Elizabeth H Fung, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.001352 Issued in IL

Practice address

2524 N Lincoln Ave
Lincoln Park Psychological Associate - Suite J
Chicago, IL 60614-2473

Phone

(773) 477-0584

Fax

(773) 477-0584

NPI assigned

Mar 29, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972623585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W WEBSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143812",
            "telephone_number": "773-477-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 N LINCOLN AVE",
            "address_2": "LINCOLN PARK PSYCHOLOGICAL ASSOCIATE - SUITE J",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142473",
            "telephone_number": "773-477-0584",
            "fax_number": "773-477-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNG",
        "first_name": "ELIZABETH",
        "middle_name": "H",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.001352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "149.001352",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Functional Health SC
• Fundamental Therapy
• John Fune
• Roberto A Funes
• Barnett Kai Lung Fung, DPM
• Hei Tung Fung
• John Fung
• Kevin Fung
• Kimberly Fung
• Michael Fung, PHD

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.