Search › Illinois › 122300000X
Kong Wang
NPI 1114588217 · on the registry since 2019 · sole proprietor
Practice
- Address
- 320 East Armstrong Ave
Peoria, IL 61603 - Phone
- (309) 655-2000
- Organisation at this address
- University Of Illinois
Osf Saint Francis Medical Center Gpr ProgramInferred from a shared address, not stated in the registry. - Clinicians at this address
- 21
Additional practice sites
- 530 Ne Glen Oak Ave, Peoria, IL
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois