Individual
DR. KENNY LEE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612
(312) 947-0229
(312) 947-1620
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0229
(312) 947-1620
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.145602
IL
Other
Enumeration date
05/27/2015
Last updated
08/11/2021
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