Individual
MS. RUOHAN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DP
Contact information
Practice address
2613 W EVERGREEN AVE, CHICAGO, IL 60622-2873
(332) 699-1436
Mailing address
2155 N ELSTON AVE APT 423, CHICAGO, IL 60614-0048
(332) 699-1436
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
IL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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