Individual
MS. GLORIA JACKEL WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU. D.
Contact information
Practice address
2900 OGDEN AVE., LISLE, IL 60532
(773) 248-9121
(773) 248-9176
Mailing address
2900 OGDEN AVE., LISLE, IL 60532
(773) 248-9121
(773) 248-9176
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000297
IL
Other
Enumeration date
09/26/2006
Last updated
06/17/2019
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