Individual
TINA C WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
211 E OHIO ST APT 1617, CHICAGO, IL 60611-3235
(312) 464-9850
Mailing address
211 E OHIO ST APT 1617, CHICAGO, IL 60611-3235
(312) 464-9850
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125047528
IL
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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