Individual
AMY YUAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, KELLOGG CANCER CENTER, EVANSTON, IL 60201-1700
(847) 570-2112
(847) 570-1041
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2112
(847) 570-1041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125065468
IL
207RH0003X
Hematology & Oncology Physician
Primary
036146158
IL
Other
Enumeration date
06/26/2014
Last updated
07/27/2021
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