Individual
JAMES ANDREW WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 766-4949
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041399820
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209022123
IL
Other
Enumeration date
09/11/2020
Last updated
10/03/2024
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