Individual
BRYAN YING WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3420 S MORGAN ST APT 2E, CHICAGO, IL 60608-6904
(214) 771-8478
Mailing address
3420 S MORGAN ST APT 2E, CHICAGO, IL 60608-6904
(214) 771-8478
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002795
IL
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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