Organization
RETIRED FROM RUSH UNIV. MED CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL WONG MD (PROFESSOR, DIRECTOR OF GENETICS)
(312) 942-6298
Entity
Organization
Contact information
Practice address
16 FOREST GATE CIR, OAK BROOK, IL 60523-2129
(630) 572-9202
(630) 572-9765
Mailing address
16 FOREST GATE CIR, OAK BROOK, IL 60523-2129
(630) 572-9202
(630) 572-9765
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
036059548
IL
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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