DR. JACK S. WU (NPI# 1154548089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154548089 |
| Entity Type | Individual |
| Full Name | DR. JACK S. WU |
| Credential | M.D. |
| Practice Address |
800 W Central Rd Department of Emergency Medicine Arlington Heights IL 60005-2349 |
| Practice Telephone | 8476183040 |
| Practice Fax Number | 8476183049 |
| Mailing Telephone | 8476183040 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2015-07-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 036-114930 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1154548089 | 05 | |
| IL | BLUE CROSS BLUE SHIELD OF ILLINOIS | 036114930 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512584 | Jack Jyh-perng Wu | Psychiatry & Neurology | 5000 North Parkway Calabasas, Ste 103, Calabasas, CA 91302 | 2008-06-20 |
| 1326089079 | Jack C Wu | Internal Medicine | 3845 Atlantic Ave, Long Beach, CA 90807-3505 | 2006-06-10 |
| 1588624977 | Jack C Wu | Family Medicine | 219 Highland Ave, Westville, NJ 08093-1014 | 2006-03-28 |
| 1689034175 | Jack Wu | Marriage & Family Therapist | 199 Coon Rapids Blvd Nw, Suite 210, Coon Rapids, MN 55433-5831 | 2016-02-26 |
| 1003183591 | Jack Wu | Pharmacist | 5695 Alton Pkwy, Irvine, CA 92618 | 2011-11-28 |
| 1598805483 | Jack C Wu | Emergency Medicine | 2525 Court Dr, Gastonia, NC 28054-2140 | 2007-02-08 |
| Street Address |
800 W CENTRAL RD DEPARTMENT OF EMERGENCY MEDICINE |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60005-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407916 | Panayota P Kleinman | Internal Medicine | 800 W Central Rd, Northwest Community Hospital Medical Staff Office, Arlington Heights, IL 60005-2349 | 2005-06-16 |
| 1861043432 | Amit Patel | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-09-25 |
| 1457911562 | Manda Shae Smith | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-06-20 |
| 1992369201 | Melinda Beth Ficarra | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-04-23 |
| 1134687015 | Alok Salgia | Pharmacist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-03-08 |
| 1780140806 | Jessica Rose Urbach | Physician Assistant | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2019-02-13 |
| 1528539426 | Anastashia N Guillory | Registered Nurse | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2018-12-17 |
| 1457868689 | Brittany Ippensen | Nurse Practitioner | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2018-01-09 |
| 1871006239 | Northwest Community Hospital | Pharmacy | 800 W Central Rd, Suite 1100, Arlington Heights, IL 60005-2349 | 2017-11-08 |
| 1720519911 | Daniel Linden | Hospitalist | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2017-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
| 1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
| 1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
| 1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
| 1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
| 1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
| 1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
| 1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
| 1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
| 1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
| Find all providers in zip 60005 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083753222 | Michael Edward Donahue | Emergency Medicine | 800 W. Central Rd., Arlington Heights, IL 60005 | 2007-02-05 |
| 1811946890 | Nancy L. Ryan | Emergency Medicine | 800 W. Central Road, Northwest Community Hospital, Arlington Heights, IL 60005-2392 | 2006-05-08 |
| 1598756348 | Vikas H Patel | Emergency Medicine | 1640 N Arlington Heights Rd Ste 101, Arlington Heights, IL 60004-3985 | 2005-11-01 |
| 1487091229 | Cep America Illinois LLP | Emergency Medicine | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2013-06-03 |
| 1093058190 | Michael Ryan Casner | Emergency Medicine | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2013-03-27 |
| 1558625301 | Jennifer Beckemeyer | Emergency Medicine | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2012-06-26 |
| 1730460965 | Brian Doane | Emergency Medicine | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2011-09-01 |
| 1760779771 | Matthew Joe Kuhns | Emergency Medicine | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2011-06-29 |
| 1972737252 | Gretchen Sanford | Emergency Medicine | 800 W Central Rd, Arlington Heights, IL 60005-2349 | 2009-05-14 |
| 1164674131 | Theresa Catherine Gandor | Emergency Medicine | 800 W Central Rd, Northwest Community Hospital - Emergency Dept., Arlington Heights, IL 60005-2349 | 2008-10-21 |
| Find all providers in ARLINGTON HEIGHTS | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60005 |
Please comment or provide details below to improve the information on DR. JACK S. WU.
| 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.