Individual
ERIC SAM WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1000 CENTRAL ST STE 101, EVANSTON, IL 60201-1780
(847) 570-1260
Mailing address
1000 CENTRAL ST STE 101, EVANSTON, IL 60201-1780
(847) 570-1260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.028612
IL
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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