Individual
CHUN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
16101 WEBER RD, CREST HILL, IL 60403-8812
(815) 306-1100
(815) 306-1105
Mailing address
16101 WEBER RD, CREST HILL, IL 60403-8812
(815) 306-1100
(815) 306-1105
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056015929
IL
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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