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General NPI Number Information
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NPI Number | 1225490840
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Entity Type | Individual
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Provider Name | JAMES C WANG M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 675 N SAINT CLAIR ST STE 15-200
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City | CHICAGO
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State | IL
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Zip | 60611-5967
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Country | US
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Telephone | 312-695-8182
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Fax | 312-695-4303
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Provider Business Mailing Address
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Address Line | 675 N SAINT CLAIR ST STE 15-200
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City | CHICAGO
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State | IL
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Zip | 60611-5967
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Country | US
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Telephone | 312-695-8182
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Fax | 312-695-4303
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 57.028395
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 036155286
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207YX0905X
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Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician
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License Number | 036155286
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 036155286
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License Number State | IL
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