Organization
RETIRED FROM RUSH UNIV. MED CENTER
Active
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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