MEDICARE: DR. DELIN WANG M.D.

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
1	207RN0300X	Nephrology Physician	67548-20	WI

General Provider Information

NPI Number	:	1740544857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DELIN WANG M.D.

Provider Business Mailing Address
First Line	:	601 W GOLF RD STE 105
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-4276
Country	:	US
Telephone Number	:	474-398-7808
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 W GOLF RD STE 105
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-4276
Country	:	US
Telephone Number	:	847-439-8780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2012
Last Update Date	:	09/05/2023

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