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Individual

EDWARD HAOCHUAN WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3201 S WALLACE ST, CHICAGO, IL 60616-3501
(312) 326-3200
(312) 326-3207
Mailing address
3201 S WALLACE ST, CHICAGO, IL 60616-3501
(312) 326-3200
(312) 326-3207

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036120765
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036120765
IL
Enumeration date
05/31/2007
Last updated
01/31/2013
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