Individual
DR. ELISA WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5341
Mailing address
123 N DESPLAINES ST APT 1313, CHICAGO, IL 60661-2305
(818) 517-9536
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01095441A
IN
207P00000X
Emergency Medicine Physician
036148008
IL
207P00000X
Emergency Medicine Physician
125069018
IL
Other
Enumeration date
06/27/2016
Last updated
12/18/2024
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