Wen, Feng

Wen, Feng is an individual health care provider with primary practice located at 6447 Cermak Rd , Berwyn IL 60402-2311. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Wen, Feng can be contacted via phone (773) 254-1400.

Contact Information

Primary practice address
6447 Cermak Rd Berwyn IL 60402-2311
Fax: (708) 656-0349
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 085005886 Illinois

Profile Details

NPI number 1154717916
LBN Legal business name Wen, Feng
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2015
Last updated Aug 10th, 2016 - about 9 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 1154717916 NPPES
Illinois MEDICAID PENDING

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