Individual
XUANJI WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-5904
Mailing address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-5904
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036169428
IL
208600000X
Surgery Physician
Primary
A186146
CA
Other
Enumeration date
03/20/2018
Last updated
07/31/2024
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