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NPI Code Detail

MEDICARE: DR. VINCENT WING ING D.C.

MEDICARE: DR. VINCENT WING ING D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorIL

General Provider Information

NPI Number : 1033296850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VINCENT WING ING D.C.
Provider Business Mailing Address
First Line : 1465 RING RD
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-5459
Country : US
Telephone Number : 708-891-1919
Fax Number :
Provider Business Practice Location Address
First Line : 1465 RING RD
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-5459
Country : US
Telephone Number : 708-891-1919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/08/2007

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