Search › Illinois › 152W00000X
Chih Jen Wang, O.D
NPI 1861443079 · on the registry since 2006
Practice
- Address
- 1560 W Us Highway 50
O Fallon, IL 62269 - Phone
- (618) 397-6575
- Fax
- (800) 432-6004
- Organisation at this address
- Nu-Crown, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- IL, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2014-02-14
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