BO WANG (NPI# 1811525389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811525389 |
| Entity Type | Individual |
| Full Name | BO WANG |
| Credential | DO |
| Practice Address |
20201 Crawford Ave Olympia Fields IL 60461-1010 |
| Practice Telephone | 7087474000 |
| Mailing Telephone | 7087474000 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053897892 | Bo Wang | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr Spc 5314, Ann Arbor, MI 48109-5000 | 2018-07-16 |
| 1962720623 | Bo Wang | Dentist | 901 Washinton Street, Hoboken, NJ 07030 | 2010-05-05 |
| 1003845322 | Bo Wang | Dentist | 1403 Highway 6, Suite 400, Sugar Land, TX 77478-4930 | 2006-06-30 |
| 1285258970 | Bo Wang | Pathology | 1 Centurian Dr Ste 103, Newark, DE 19713-2154 | 2020-05-29 |
| 1083174379 | Bo Wang | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2019-03-22 |
| 1093211666 | Bo Wang | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287 | 2018-04-03 |
| 1750744835 | Bo Wang | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2016-04-05 |
| 1619357365 | Bo Wang | Internal Medicine | 1 Gustave L Levy Pl Dept Of, New York, NY 10029-6504 | 2015-06-08 |
| 1750694196 | Bo Wang | Emergency Medicine | 6720 Bertner Ave, Mc 4-217, Houston, TX 77030-2604 | 2010-07-14 |
| 1356665251 | Bo Wang | Surgery | 2401 Frist Blvd Ste 4, Fort Pierce, FL 34950-4800 | 2010-03-22 |
| Street Address |
20201 CRAWFORD AVE |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021266 | Alverno Lakeside Corporation | Ambulance | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2005-05-23 |
| 1962011304 | Maura Ganser | Speech-Language Pathologist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-07-30 |
| 1295344802 | Rebekah Stanish | Speech-Language Pathologist | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-07-29 |
| 1699398115 | Alexander Eric Urban | Orthopaedic Surgery | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-05-19 |
| 1083236038 | Rushiv Patel | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-05-13 |
| 1922620038 | Mateusz Dawid Gorecki | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2020-05-12 |
| 1790304228 | Natalya Mezenina | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-14 |
| 1306465471 | Garrett Kawashima | Orthopaedic Surgery | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-09 |
| 1013536267 | Adnan Manzoor | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-08 |
| 1659900819 | Nicholas John Zanghi | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116507 | Michael John Montesano | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Olympia Fields, IL 60461-1010 | 2019-04-15 |
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1083236038 | Rushiv Patel | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-05-13 |
| 1922620038 | Mateusz Dawid Gorecki | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2020-05-12 |
| 1306465653 | Alessandra Claire Carrillo | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2020-04-15 |
| 1790304228 | Natalya Mezenina | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-14 |
| 1336768902 | Kathryn Wanat | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2020-04-13 |
| 1326667304 | Elias Salim Khazoum | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2020-04-10 |
| 1053930008 | Ryan Brooks | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2020-04-09 |
| Find all providers in OLYMPIA FIELDS | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
Please comment or provide details below to improve the information on BO WANG.
| 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.