Healthcare Provider Details

I. General information

NPI: 1740785971
Provider Name (Legal Business Name): JOY INTING WANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2018
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4309 W MEDICAL CENTER DR STE B305
MCHENRY IL
60050-8418
US

IV. Provider business mailing address

4309 W MEDICAL CENTER DR STE B305
MCHENRY IL
60050-8418
US

V. Phone/Fax

Practice location:
  • Phone: 847-802-7400
  • Fax: 847-802-7399
Mailing address:
  • Phone: 847-802-7400
  • Fax: 847-802-7399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.139728
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036174938
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number56536
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: