Individual
JONATHAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 FOXFIELD RD STE 102, ST CHARLES, IL 60174-5799
(877) 377-1188
(630) 377-7360
Mailing address
2900 FOXFIELD RD STE 102, ST CHARLES, IL 60174-5799
(877) 377-1188
(630) 377-7360
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036.175919
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A110419
CALIFORNIA MEDICAL LICENSE
CA
Enumeration date
06/18/2010
Last updated
09/22/2025
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