Organization
UNIVERSITY NEUROLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MING TAO WANG MD (PRESIDENT)
(217) 403-1840
Entity
Organization
Contact information
Practice address
407 E UNIVERSITY AVE, CHAMPAIGN, IL 61820-3865
(217) 403-1840
(217) 403-1844
Mailing address
2905 WENDOVER PL, CHAMPAIGN, IL 61822-6186
(217) 403-1840
(217) 403-1844
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036106997
IL
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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