Wong, Alicia X

Wong, Alicia X is an individual health care provider with primary practice located at 801 N Cass Ave Ste 203 , Westmont IL 60559-1162. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is her primary health care specialty. Wong, Alicia X can be contacted via phone (630) 491-4941.

Contact Information

Primary practice address
801 N Cass Ave Ste 203 Westmont IL 60559-1162
Phone: (630) 491-4941
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046011357 Illinois
Eye and Vision Services Providers / Vision Therapy 152WV0400X 046011357 Illinois

Profile Details

NPI number 1326525486
LBN Legal business name Wong, Alicia X
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2018
Last updated Oct 26th, 2023 - about 3 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 1326525486 NPPES
Illinois Other 046011357 ILLINOIS LICENSE

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