Individual
DR. CHUNG (JEREMY) WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 OGDEN AVE, SUITE 325, AURORA, IL 60504-5894
(630) 978-4850
(630) 978-6865
Mailing address
1009 WINDEMERE LN, AURORA, IL 60504-8966
(708) 703-2912
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125057745
IL
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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