Individual
MR. MICHAEL WENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2915 N BROADWAY ST, CHICAGO, IL 60657-5313
(773) 857-3328
Mailing address
2915 N BROADWAY ST, CHICAGO, IL 60657-5313
(773) 857-3328
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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