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Individual

AMY MONGYUN WEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
2349 S WENTWORTH AVE, CHICAGO, IL 60616-0110
(312) 808-1893
Mailing address
7519 175TH ST APT 2W, TINLEY PARK, IL 60477-6929

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046011447
IL

Other

Enumeration date
06/18/2020
Last updated
05/17/2022
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