Individual
DR. LIN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-3757
(217) 788-3000
(217) 788-5577
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-3757
(217) 788-3000
(217) 788-5577
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036.148919
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
2012-01783
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558597278
—
NC
01
—
178J8
BCBSNC
NC
Enumeration date
06/09/2009
Last updated
06/16/2020
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