Individual provider · Type 1 NPI
Elizabeth Q. Wang, CPNP
Pediatric Nurse Practitioner · Lake Forest, IL
NPI number
1780856799
Active
Practice location
900 N Westmoreland Rd, Suite 110
Lake Forest, IL 60045-1674
Fax (847) 295-1255
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209007028 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1780856799
Elizabeth Q. Wang, CPNP's National Provider Identifier is 1780856799, issued on Mar 31, 2008. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Lake Forest, IL. The record was last updated on Mar 31, 2008.