| Sze K Wong M D S C | |
|
2323 S Wentworth Ave Suite 201 Chicago IL 60616-4615 | |
| (312) 842-0100 | |
| (312) 842-4967 |
| Full Name | Sze K Wong M D S C |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2323 S Wentworth Ave, Chicago, Illinois |
| Authorized Official Name and Position | Sze Kin Wong (PRESIDENT) |
| Authorized Official Contact | 3128420100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sze K Wong M D S C 2323 S Wentworth Ave Suite 201 Chicago IL 60616-4615 Ph: (312) 842-0100 | Sze K Wong M D S C 2323 S Wentworth Ave Suite 201 Chicago IL 60616-4615 Ph: (312) 842-0100 |
| NPI Number | 1831488154 |
|---|---|
| Provider Enumeration Date | 04/07/2011 |
| Last Update Date | 04/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831488154 | NPI | - | NPPES |
| 036078670 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 036078670 (Illinois) | Primary |
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