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Individual

DR. LU WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
201 E HURON ST. NORTHWESTERN MEMORIAL HOSPITAL, 7-132A, CHICAGO, IL 60611
(312) 503-8144
Mailing address
278 N OAKLAWN AVE UNIT 3, ELMHURST, IL 60126-2523
(630) 333-9006

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125059720
IL
390200000X
Student in an Organized Health Care Education/Training Program
11015359A
IN
390200000X
Student in an Organized Health Care Education/Training Program
125059720
IL
390200000X
Student in an Organized Health Care Education/Training Program
57.016540
OH

Other

Enumeration date
05/13/2010
Last updated
07/08/2015
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