Wan, Alan Wing-Lun

Wan, Alan Wing-Lun is an individual health care provider with primary practice located at 4305 W Medical Center Dr Ste 1 , Mchenry IL 60050-8425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wan, Alan Wing-Lun can be contacted via phone (815) 759-8100.

Contact Information

Primary practice address
4305 W Medical Center Dr Ste 1 Mchenry IL 60050-8425
Fax: (815) 759-8106
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036133552 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036133552 Illinois

Profile Details

NPI number 1669777074
LBN Legal business name Wan, Alan Wing-Lun
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2011
Last updated Mar 1st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669777074 NPPES
Illinois Other F400325774 MEDICARE PTAN INDIVIDUAL
Illinois MEDICAID 036133552 MEDICARE PTAN INDIVIDUAL
Illinois Other 206147 MEDICARE PTAN INDIVIDUAL

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