Individual
DR. CRYSTAL S. WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2349 S WENTWORTH AVE, CHICAGO, IL 60616-2013
(312) 808-1893
(312) 808-1834
Mailing address
2349 S WENTWORTH AVE, CHICAGO, IL 60616-2013
(312) 808-1893
(312) 808-1834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009664
IL
Other
Enumeration date
11/08/2006
Last updated
08/15/2011
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