Vivian Wan
Vivian Wan is an Urology Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
251 E Huron StChicago, IL 60611-2908
Phone: (312) 503-7975
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Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 125.080225 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1508341355 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | September 27, 2018 |
| Last updated in NPPES | May 31, 2022 |
| Certification date | May 15, 2022 |
| Mailing address | 251 E Huron St, Chicago, IL 60611-2908 |
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