Individual
DR. WILLIAM KWOK KUEN WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2262 S. WENTWORTH AVE, 2ND FLOOR, CHICAGO, IL 60616
(312) 791-1013
(312) 791-1444
Mailing address
2262 S. WENTWORTH AVE, 2ND FLOOR, CHICAGO, IL 60616
(312) 791-1013
(312) 791-1444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
19.15068
IL
208D00000X
General Practice Physician
Primary
036.055709
IL
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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