Individual
MR. CHANG PING WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-8387
Mailing address
4331 S SPAULDING AVE, CHICAGO, IL 60632-2837
(312) 532-0329
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
500633
IL
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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