Individual
COLIN NOBORU MUI WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8303 KEYSTONE AVE, SKOKIE, IL 60076-2762
(847) 406-0487
Mailing address
8303 KEYSTONE AVE, SKOKIE, IL 60076-2762
(847) 406-0487
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005545
IL
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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