Individual
VINCENT K WOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036130689
IL
207RC0000X
Cardiovascular Disease Physician
036130689
IL
207RI0011X
Interventional Cardiology Physician
Primary
036130689
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036130689
STATE LICENSE
IL
Enumeration date
05/05/2009
Last updated
10/22/2018
Update your record
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