VIVIAN WAN

CHICAGO, IL
NPI1508341355
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: IL  125.080225)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-09-27
Last Update Date2022-05-31
Business Address
VIVIAN WAN
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: 312-503-7975
Mailing Address
VIVIAN WAN
251 E HURON ST
CHICAGO, IL 60611-2908
Phone number: