Provider Demographics
NPI:1952590242
Name:HUNG, WENDY YING WAN (DC)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:YING WAN
Last Name:HUNG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5810 OAKWOOD DR
Mailing Address - Street 2:3G
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-2974
Mailing Address - Country:US
Mailing Address - Phone:630-456-0481
Mailing Address - Fax:
Practice Address - Street 1:5810 OAKWOOD DR
Practice Address - Street 2:3G
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-2974
Practice Address - Country:US
Practice Address - Phone:630-456-0481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038010096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor