Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Samson Fang, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1386404499

Jacob Samson Fang, MD is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (773) 702-3550
Fax: (773) 702-1161
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1386404499
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2024
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

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