Individual
EMILY WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5721 S MARYLAND AVE, CHICAGO, IL 60637-1425
(773) 702-1000
Mailing address
5721 S MARYLAND AVE, CHICAGO, IL 60637-1425
(773) 702-1000
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
041.454629
IL
363L00000X
Nurse Practitioner
Primary
209.025693
IL
Other
Enumeration date
07/25/2022
Last updated
08/09/2022
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