Individual
WAY-HOO DET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
845 N MICHIGAN AVE, SUITE 948 E, CHICAGO, IL 60611-2252
(312) 202-0700
(312) 202-0326
Mailing address
2007 MIDWEST CLUB PKWY, OAK BROOK, IL 60523-2526
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036054528
IL
Other
Enumeration date
04/09/2007
Last updated
03/25/2010
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