Individual
JIAXIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22320 CLASSIC CT, LAKE BARRINGTON, IL 60010-5903
(405) 780-5496
Mailing address
2438 N CAMPBELL AVE APT BSMT, CHICAGO, IL 60647-0312
(405) 780-5496
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.006625
IL
Other
Enumeration date
10/04/2021
Last updated
10/04/2021
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