Individual
JAMES R. WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
526 W STATE ST, ROCKFORD, IL 61101-1214
(815) 968-9300
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 387-5600
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043116557
IL
164W00000X
Licensed Practical Nurse
316422-31
WI
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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