Wang, Theodore

Wang, Theodore is an individual health care provider with primary practice located at 3134 N Clark St , Chicago IL 60657-4414. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Wang, Theodore can be contacted via phone (773) 880-9722.

Contact Information

Primary practice address
3134 N Clark St Chicago IL 60657-4414
Phone: (773) 880-9722
Fax: (312) 766-4908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 036079516 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036079516 Illinois

Profile Details

NPI number 1831205558
LBN Legal business name Wang, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Oct 5th, 2022 - about 4 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 1831205558 NPPES
Illinois MEDICAID 036079516

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