Individual
BILLY CHEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 NE GLEN OAK AVE BLDG ROOM5642, PEORIA, IL 61637-0001
(309) 655-4746
Mailing address
530 NE GLEN OAK AVE BLDG ROOM5642, PEORIA, IL 61637-0001
(309) 655-4746
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A138755
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2014
Last updated
04/01/2021
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