DAVID WONG

MAYWOOD, IL
NPI1366192940
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.079417)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-03-25
Last Update Date2022-05-25
Business Address
DAVID WONG
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 888-584-7888
Mailing Address
DAVID WONG
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: