Individual
LESLEY WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4214 N HARLEM AVE, NORRIDGE, IL 60706-1293
(708) 453-7005
Mailing address
3409 W PARKER AVE # 3409-2, CHICAGO, IL 60647-8354
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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