Individual
LYON WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 970, CHICAGO, IL 60612-3828
(312) 563-3447
Mailing address
1725 W HARRISON ST STE 970, CHICAGO, IL 60612-3828
(312) 563-3447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.078878
IL
207R00000X
Internal Medicine Physician
1790365559
IL
Other
Enumeration date
04/14/2021
Last updated
06/28/2021
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