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Individual

MRS. ALISON RAE WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
250 E SUPERIOR ST RM 5-2177, CHICAGO, IL 60611-2914
(312) 472-4673
(312) 472-4687
Mailing address
1352 N LASALLE ST APT CH, CHICAGO, IL 60610-1911
(323) 251-7703

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
125054833
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37571
EMPLOYEE ID NUMBER
IL
Enumeration date
06/28/2008
Last updated
06/28/2008
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