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Contact Information

WILLIAM K WAN, MD
2262 S. WENTWORTH AVE
2ND FLOOR
CHICAGO, IL60616
 Phone: 312-791-1013
 Fax: 312-791-1444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for WILLIAM K WAN · (Male)

NPI # 1003043274
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2009
Last updated 06/16/2009 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036.055709
  • IL License # 19.15068
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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