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Individual

DR. CHANG-YANG WANG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4901 W 79TH ST, 6, BURBANK, IL 60459-1554
(708) 425-1320
(708) 425-1312
Mailing address
4901 W 79TH ST, 6, BURBANK, IL 60459-1554
(708) 425-1320
(708) 425-1312

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21606779
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
02/02/2006
Last updated
07/08/2007
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