Individual
MR. SAMSON WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2522 N LINCOLN AVE, CHICAGO, IL 60614-2352
(773) 296-6700
Mailing address
8924 OLCOTT AVE, MORTON GROVE, IL 60053-1916
(847) 275-5990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227000055
IL
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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