Individual
ERIC WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1411 W LANE RD STE B, ROCKFORD, IL 61115-1661
(779) 243-5424
Mailing address
318 W 24TH ST, CHICAGO, IL 60616-2216
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.037162
IL
Other
Enumeration date
06/13/2026
Last updated
06/13/2026
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