Organization
SZE K WONG M D S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SZE KIN WONG M.D. (PRESIDENT)
(312) 842-0100
Entity
Organization
Contact information
Practice address
2323 S WENTWORTH AVE, SUITE 201, CHICAGO, IL 60616-4615
(312) 842-0100
(312) 842-4967
Mailing address
2323 S WENTWORTH AVE, SUITE 201, CHICAGO, IL 60616-4615
(312) 842-0100
(312) 842-4967
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
036078670
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078670
—
IL
Enumeration date
04/07/2011
Last updated
04/07/2011
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