Individual
CHARLES C WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9650 GROSS POINT RD STE 3900, SKOKIE, IL 60076-5085
(847) 570-2570
(847) 933-3520
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
(847) 733-5315
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036101154
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0361011541
—
IL
Enumeration date
02/22/2006
Last updated
02/10/2021
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