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1154717916
FENG WEN
BERWYN, IL
NPI
1154717916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: IL 085005886)
Enumeration Date
2015-04-08
Last Update Date
2016-08-10
Business Address
FENG WEN
6447 CERMAK RD
BERWYN, IL 60402-2311
Phone number: 773-254-1400
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Mailing Address
FENG WEN
966 W 21ST ST
CHICAGO, IL 60608-4511
Phone number: 773-254-1400
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