Individual
LESLEY YAN WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C., L.M.T.
Contact information
Practice address
805 E IRVING PARK RD, SUITE B, ROSELLE, IL 60172-4320
(630) 893-4000
Mailing address
636 E IRVING PARK RD, SUITE B, ROSELLE, IL 60172-2303
(630) 893-4000
(630) 893-4000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012074
IL
Other
Enumeration date
12/04/2011
Last updated
03/31/2017
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