Individual
DR. RICHARD WANSHUO WANG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(312) 942-5000
Mailing address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125085818
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
06/04/2025
Last updated
07/31/2025
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