DR. JOHN C WU (NPI# 1033281506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033281506 |
| Entity Type | Individual |
| Full Name | DR. JOHN C WU |
| Credential | M.D. |
| Practice Address |
2306 East 75th Street Chicago IL 60649 |
| Practice Telephone | 7737310014 |
| Practice Fax Number | 7737312034 |
| Mailing Telephone | 7737310014 |
| Mailing Fax Number | 7737312034 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2018-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036105600 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036105600 | IL | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
036105600 | IL | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 036105600 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS& BLUE SHIELD | 016-28281 | 01 |
| IL | 036105600 | 05 | |
| IL | CLIA NO | 14D0697995 | 01 |
| IL | RAIL ROAD PROVIDER NO. | 020052978 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529484 | John Ya-li Wu | Physician Assistant | 2788 Trapper Springs Ave, Tulare, CA 93274-6261 | 2017-10-12 |
| 1720354038 | John Li-jon Wu | Obstetrics & Gynecology | 16415 Addison Rd, Addison, TX 75001 | 2012-03-30 |
| 1063667582 | John Wu | Pharmacist | 275 Hospital Way, San Jose, CA 95119 | 2008-11-25 |
| 1154599702 | John Wu | Pharmacy Technician | 3199 Beaumont Centre Cir, Lexington, KY 40513-1709 | 2008-02-18 |
| 1346385788 | John C. Wu | Psychologist | 9353 Valley Blvd Ste C, Rosemead, CA 91770-1934 | 2007-02-21 |
| 1518930395 | John Van Wu | Internal Medicine | 2789 W Alameda Ave, Denver, CO 80219-3042 | 2006-02-10 |
| 1598325888 | John Wu | Occupational Therapist | 3900 Llewellyn Ave, Norfolk, VA 23504-1203 | 2019-06-18 |
| 1629417043 | John C Wu | Orthopaedic Surgery | 525 W River Woods Pkwy Ste 230, Glendale, WI 53212-1010 | 2013-06-19 |
| 1881990737 | John Han Wu | Dermatology | 1661 Hanover Rd, Ste 217, City of Industry, CA 91748-1796 | 2011-02-09 |
| 1619099272 | John Hong Yan Wu | Internal Medicine | 929 Clay Street, Suite 403, San Francisco, CA 94108-1556 | 2007-04-04 |
| Street Address |
2306 EAST 75TH STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
| 1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
| 1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
| 1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
| 1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
| 1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
| 1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
| 1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
| 1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
| Find all providers in zip 60649 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1164067054 | League Corp. | General Practice | 515 N State St Fl 8, Chicago, IL 60654-9102 | 2019-11-14 |
| 1679129977 | Chronic Care Solutions LLC | General Practice | 3050 W Columbia Ave, Chicago, IL 60645-4006 | 2019-08-13 |
| 1952809451 | Josie M Abogast | General Practice | 3219 N. Clark St., Chicago, IL 60657 | 2018-01-30 |
| 1043759939 | Royalty Intervention Group Inc | General Practice | 10307 S Peoria St, Suite 100, Chicago, IL 60643-3007 | 2017-02-13 |
| 1215482567 | David John De Jong | General Practice | 226 W Willow St, Chicago, IL 60614-5716 | 2016-08-16 |
| 1720474885 | Healthwise Medical Clinic LLC | General Practice | 8349 S Baltimore Ave, Chicago, IL 60617-2110 | 2015-04-15 |
| 1578952321 | Joseph Lawrence Mcdevitt | General Practice | 2650 N Orchard St Apt 2f, Chicago, IL 60614-1576 | 2015-01-16 |
| 1548662851 | Healthjoy | General Practice | 208 W Huron St, Chicago, IL 60654-3913 | 2014-09-17 |
| 1629478359 | Alivio Medical Center | General Practice | 1450-1510 W. Cermak Road, Chicago, IL 60608 | 2014-08-29 |
| 1699193409 | Kenya R Thomas | General Practice | 1133 E 83rd St Unit 108, Chicago, IL 60619-6464 | 2014-03-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.