Lau, Stephanie Wong

Lau, Stephanie Wong is an individual health care provider with primary practice located at 1875 Dempster St Suite #360, Park Ridge IL 60068-1186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lau, Stephanie Wong can be contacted via phone (847) 825-7030.

Contact Information

Primary practice address
1875 Dempster St Suite #360 Park Ridge IL 60068-1186
Phone: (847) 825-7030
Fax: (847) 825-7047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036120804 Illinois

Profile Details

NPI number 1396924825
LBN Legal business name Lau, Stephanie Wong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2007
Last updated Jul 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396924825 NPPES
Illinois MEDICAID 036120804

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