NPI 1003043274

William Kwok Kuen Wan, MD

Practitioner General Practice Physician Chicago, IL

Practice location

Address: 2262 S. Wentworth Ave 2nd Floor, Chicago, IL 60616
Phone: (312) 791-1013
Fax: (312) 791-1444

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 036.055709 (IL)

Other General Practice providers in Illinois →

Dentist

Dental Providers Taxonomy 122300000X Licence 19.15068 (IL)

Other Dentist providers in Illinois →

Registry record

NPI: 1003043274
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2009
Record last updated: 16 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.