Individual
TIMOTHY Y. WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-6644
Mailing address
1520 W HARRISON ST, CHICAGO, IL 60607-3106
(312) 942-6644
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036168857
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2017
Last updated
05/22/2024
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