Individual
WILSON JING FONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
822 SUMMIT ST STE 84, ELGIN, IL 60120-4316
(847) 306-7093
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
277.004299
IL
363LP2300X
Primary Care Nurse Practitioner
17425
CA
363LP2300X
Primary Care Nurse Practitioner
277.004299
IL
Other
Enumeration date
04/04/2008
Last updated
07/21/2025
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