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
Phone: (815) 759-8100
Fax: (815) 759-8106
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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