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General NPI Number Information
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NPI Number | 1659832244
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Entity Type | Individual
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Provider Name | EDWIN WANG MD
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Gender | Male
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 1425 N RANDALL RD
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City | ELGIN
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State | IL
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Zip | 60123-2300
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Country | US
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Telephone | 847-742-9800
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Fax |
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone | 847-390-5900
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Fax | 847-390-4757
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | 036.169092
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036.169092
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License Number State | IL
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