TRIPHENA M WONG DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****53

ACTIVE

N

DO

TRIPHENA

M

WONG

TRIPHENA M WONG DO

08/21/2023

08/21/2023

07/31/2026

CHICAGO

IL

60647

COOK

PRACTITIONER

II III IV V

N

08/21/2023