Individual
DR. JONATHAN F WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
780 WAUKEGAN RD, DEERFIELD, IL 60015-4305
(847) 945-0611
Mailing address
3627 SALEM WALK, APT# B2, NORTHBROOK, IL 60062-8514
(847) 208-9367
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294862
IL
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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