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Individual

DAVID FRANKLIN WAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2300 N CHILDRENS PLZ, CHILDRENS MEMORIAL HOSPITAL CARDIOLOGY DEPARTMENT, CHICAGO, IL 60614-3363
(773) 880-4553
(773) 880-8111
Mailing address
2300 N CHILDRENS PLZ, BOX 21 CHILDRENS MEMORIAL HOSPITAL, CHICAGO, IL 60614-3363
(773) 880-4553
(773) 880-8111

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036093692
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036093692
IL
Enumeration date
07/28/2006
Last updated
09/16/2011
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