Individual
DR. JOAN C WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
2551 N CLARK ST STE 404, CHICAGO, IL 60614-7729
(773) 873-6372
Mailing address
2551 N CLARK ST STE 404, CHICAGO, IL 60614-7729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019024956
IL
1223G0001X
General Practice Dentistry
019024956
IL
1223X2210X
Orofacial Pain Dentistry
Primary
019024956
IL
Other
Enumeration date
03/19/2018
Last updated
11/11/2023
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