Wang, Sam

Wang, Sam is an individual health care provider with primary practice located at 149 Buckley Rd , Libertyville IL 60048-1400. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wang, Sam can be contacted via phone (224) 207-4180.

Contact Information

Primary practice address
149 Buckley Rd Libertyville IL 60048-1400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038009501 Illinois

Profile Details

NPI number 1073520136
LBN Legal business name Wang, Sam
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Mar 18th, 2016 - about 8 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 1073520136 NPPES
Illinois Other 02230328 BCBS

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