NPI | 1114714219 |
---|---|
Doing Business As | JIA Y. WANG, MD CLINIC |
Entity Type | Organization |
Authorized Contact | JIA YU WANG Primary Care Provider 773-969-0151 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2025-04-22 |
Last Update Date | 2025-05-05 |