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
Phone: (773) 254-1400
Fax: (708) 656-0349
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154717916 | NPPES |
Illinois | MEDICAID | PENDING |
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