FENG WEN

BERWYN, IL
NPI1154717916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085005886)
Enumeration Date2015-04-08
Last Update Date2016-08-10
Business Address
-- FENG WEN
6447 CERMAK RD
BERWYN, IL 60402-2311
Phone number: 773-254-1400
Mailing Address
-- FENG WEN
966 W 21ST ST
CHICAGO, IL 60608-4511
Phone number: 773-254-1400
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