Individual
KATIE KAIMENG WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
(217) 223-9552
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
(217) 223-9552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036165850
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/30/2026
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