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Individual

JOSHUA WONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-5580
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125057947
IL
2080P0202X
Pediatric Cardiology Physician
Primary
036.140379
IL
2080P0202X
Pediatric Cardiology Physician
4301102152
MI

Other

Enumeration date
01/05/2011
Last updated
05/12/2022
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