Individual
JONATHAN DAVID WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APRN, FNP-C
Contact information
Practice address
2323 GRAND AVE, WAUKEGAN, IL 60085-3312
(847) 666-3494
Mailing address
1379 OSAGE ORANGE RD, GRAYSLAKE, IL 60030-3524
(847) 643-6253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
041.497428
IL
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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