Individual
DR. BENJAMIN JENG-SHING WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
80 RIVER OAKS, STE 813, CALUMET CITY, IL 60409
(708) 862-5783
(708) 862-5784
Mailing address
80 RIVER OAKS, STE 813, CALUMET CITY, IL 60409
(708) 862-5783
(708) 862-5784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036061248
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031600025
BLUE CROSS BLUE SHIELD
IL
05
—
036061248
—
IL
01
—
4029169
AETNA
—
Enumeration date
09/02/2005
Last updated
01/26/2010
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