Most Relevant Information
Provider Data
| NPI Number: | 1003558487 |
| Provider Name: | YAN WANG LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 227.022352 |
Most Important Dates
| Enumeration Date: | 04/07/2022 |
| Last Updated: | 04/14/2022 |
Provider Practice Location
1779 GREEN BAY RD STE 101
HIGHLAND PARK
IL
600353118
Practice Location Phone/Fax
| Phone: | 8472660131 |
| Fax: |
Provider Mailing Location
1779 GREEN BAY RD STE 101
HIGHLAND PARK
IL
600353118
Provider Mailing Phone/Fax
| Phone: | 8472660131 |
| Fax: |