Individual provider · Type 1 NPI

Jenifer K. Wong-Yu, PA-C

Surgical Physician Assistant · Oak Lawn, IL

NPI number 1891208617 Active

Practice location

4400 W 95th St Ste 308
Oak Lawn, IL 60453-2660

Call (708) 346-4040 Map

Fax (708) 346-3287

Mailing address

9500 Bormet Dr, Ste 204
Mokena, IL 60448-8399

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085.006399 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1891208617

Jenifer K. Wong-Yu, PA-C's National Provider Identifier is 1891208617, issued on Nov 15, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Lawn, IL. The record was last updated on Feb 14, 2019.