Dr. Jennifer Roses Wong
Optometrist Optomitrist - Corneal and Contact Lenses
25 E Washington St Suite 606
Chicago
, Illinois 60602-1708
Dr. Jennifer Roses Wong
Optometrist Optomitrist - Corneal and Contact Lenses
25 E Washington St Suite 606
Chicago
, Illinois 60602-1708
(312) 444-1953
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About
Features
Specialties
- Optometrist
- Optomitrist - Corneal and Contact Lenses
Languages spoken
- English
Location
First Address
- Dr. Jennifer Roses Wong
- 25 E Washington St Suite 606
- Chicago, IL
- Zip : 60602-1708
- Fax : (312) 444-1953
- Phone : (312) 444-1111
Second Address
- Dr. Jennifer Roses Wong
- 25 E Washington St Suite 606
- Chicago, IL
- Zip : 60602-1708
- Fax : (312) 444-1953
- Phone : (312) 444-1111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 152W00000X | Optometrist | 18003473A | IN |
| Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 046-0101777 | IL |
National Provider Identifier
| NPI | 1225286875 |
|---|---|
| Provider Name | Dr. Jennifer Roses Wong |
| First Address | Chicago, IL 60602-1708 |
| Second Address | Chicago, IL 60602-1708 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2008 |
| Last Update Date | 04/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 046-0101777 | ILLINOIS LICENSE NUMBER (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.