Individual
JENNY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307), MAYWOOD, IL 60153
(708) 216-4403
(708) 216-3375
Mailing address
2160 S FIRST AVE, (MAGUIRE CENTER, RM. 3307), MAYWOOD, IL 60153
(708) 216-4403
(708) 216-3375
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036109592
IL
2080P0203X
Pediatric Critical Care Medicine Physician
036109592
IL
Other
Enumeration date
09/06/2006
Last updated
04/19/2022
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