Most Relevant Information
Provider Data
| NPI Number: | 1003691585 |
| Provider Name: | JANE WONG FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 041.391087 |
Most Important Dates
| Enumeration Date: | 08/31/2023 |
| Last Updated: | 08/31/2023 |
Provider Practice Location
840 S WOOD ST STE 417
CHICAGO
IL
606124325
Practice Location Phone/Fax
| Phone: | 3123551015 |
| Fax: |
Provider Mailing Location
840 S WOOD ST STE 417
CHICAGO
IL
606124325
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |