Lau, Stephanie Wong
Lau, Stephanie Wong is an individual health care provider with primary practice located at 1875 Dempster St Suite #360, Park Ridge IL 60068-1186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lau, Stephanie Wong can be contacted via phone (847) 825-7030.Contact Information
Primary practice address
1875 Dempster St Suite #360
Park Ridge IL 60068-1186
Phone: (847) 825-7030
Fax: (847) 825-7047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036120804 | Illinois |
Profile Details
| NPI number | 1396924825 |
|---|---|
| LBN Legal business name | Lau, Stephanie Wong |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2007 |
| Last updated | Jul 6th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396924825 | NPPES |
| Illinois | MEDICAID | 036120804 |
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