Wong, Jennifer Roses

Wong, Jennifer Roses is an individual health care provider with primary practice located at 25 E Washington St Suite 606, Chicago IL 60602-1708. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is her primary health care specialty. Wong, Jennifer Roses can be contacted via phone (312) 444-1111.

Contact Information

Primary practice address
25 E Washington St Suite 606 Chicago IL 60602-1708
Phone: (312) 444-1111
Fax: (312) 444-1953
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18003473A Indiana
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 046-0101777 Illinois

Profile Details

NPI number 1225286875
LBN Legal business name Wong, Jennifer Roses
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2008
Last updated Jun 4th, 2009 - about 17 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 1225286875 NPPES
Illinois Other 046-0101777 ILLINOIS LICENSE NUMBER

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