JENNIFER WANG (NPI# 1962897561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962897561 |
| Entity Type | Individual |
| Full Name | JENNIFER WANG |
| Credential | MD |
| Practice Address |
5841 S Maryland Ave # Mc4076 Chicago IL 60637 |
| Mailing Address |
180 Harvester Dr Ste 110 Burr Ridge IL 60527-6686 |
| Practice Telephone | 7737957624 |
| Mailing Telephone | 7737021150 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2018-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
036146352 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789785 | Jennifer J Wang | Pharmacist | 152 Route 31, Flemington, NJ 08822-5734 | 2020-10-29 |
| 1003455262 | Jennifer Wang | Pharmacist | 12037 Mil Pitrero Rd, San Diego, CA 92128-5281 | 2020-01-04 |
| 1013388909 | Jennifer Wang | Physician Assistant | 3753 78th St, Jackson Heights, NY 11372-6631 | 2015-10-17 |
| 1114312329 | Jennifer Yu Wang | Dermatology | 450 Broadway Street Mc 5334, Redwood City, CA 94063-3132 | 2015-04-03 |
| 1225420284 | Jennifer Joy Wang | Nurse Anesthetist, Certified Registered | 9419 Mclennan Ave, Northridge, CA 91343-2723 | 2015-02-28 |
| 1326385766 | Jennifer Han Ju Wang | Pharmacist | 21540 30th Dr Se Ste 330, Bothell, WA 98021-7015 | 2013-01-04 |
| 1548505217 | Jennifer W Wang | Dentist | 2996 S. Norfolk St, E, San Mateo, CA 94403 | 2012-12-06 |
| 1306116934 | Jennifer Wang | Internal Medicine | One Gustave Levy Place, Department of Surgery, 1264, New York, NY 10029 | 2012-01-12 |
| 1649419854 | Jennifer Lu Wang | Dentist | 3060 Baldwin Park Blvd, Baldwin Park, CA 91706-4704 | 2009-02-11 |
| 1952461501 | Jennifer L Wang | Dentist | 2225 Williams Trace Blvd Ste 101, Sugar Land, TX 77478-4440 | 2006-12-12 |
| Street Address |
5841 S MARYLAND AVE # MC4076 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366756140 | Atsushi Sakuraba | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1447 | 2010-08-04 |
| 1023624988 | Nathaniel Aviv Cohen | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1443 | 2020-09-16 |
| 1780230169 | Seth Shaffer | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1443 | 2019-08-12 |
| 1386106300 | Shintaro Akiyama | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1443 | 2019-04-01 |
| 1881127769 | Emily Sellers | Student in an Organized Health Care Education/Training Program | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1443 | 2017-04-06 |
| 1669887519 | Hassaan A Zia | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1443 | 2014-06-29 |
| 1609295518 | Sujaata Dwadasi | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1447 | 2014-04-08 |
| 1083052880 | Thomas Xuefeng Lu | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1443 | 2013-06-13 |
| 1689938383 | Arsalan Jawed Khan | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1447 | 2012-06-27 |
| 1871892117 | Vijaya Rao | Internal Medicine | 5841 S Maryland Ave # Mc4076, Chicago, IL 60637-1443 | 2011-03-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1780220079 | Tara Coleman | Non-emergency Medical Transport (VAN) | 808 E. 63rd Street, Suite 135, Chicago, IL 60637 | 2019-11-21 |
| 1366003501 | Valerie Silas | Case Management | 6330 S King Drive, Chicago, IL 60637 | 2019-06-27 |
| 1205391620 | Derek Joseph Fiedler | Anesthesiology | University of Chicago, 5841 S Maryland Ave, Chicago, IL 60637 | 2019-02-11 |
| 1821573072 | Ugochinyere Ohaja | Registered Nurse | 5656 South Maryland Avenue, Chicago, IL 60637 | 2018-10-03 |
| 1053899138 | Won Hee Oh | Physician Assistant | 5841 S. Maryland Ave., Mc5040, Chicago, IL 60637 | 2018-08-01 |
| 1558854695 | Rasidat Adeduntan | Internal Medicine | 5841 S. Maryland Avenue, [7082], Chicago, IL 60637 | 2018-06-13 |
| 1194235283 | Melissa Ann Arangoa | Registered Nurse | 5841 S. Maryland Ave, Mc 1083, Chicago, IL 60637 | 2017-10-03 |
| 1558880633 | Marni Harris | Optometrist | 5841 S Maryland Ave # S421, Chicago, IL 60637 | 2017-09-11 |
| 1992235105 | Vidya Mahavadi | Pediatrics | 5841 S. Maryland Avenue, Mail Code 8016, Chicago, IL 60637 | 2017-06-20 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303296 | Amanda Israel | Internal Medicine | 5841 S Maryland Ave # 4076m410, Chicago, IL 60637-1443 | 2018-07-23 |
| 1447765888 | David Henoch Barch | Internal Medicine | 3431 N Leavitt St, Chicago, IL 60618-6013 | 2017-12-07 |
| 1205218658 | Ye Eun Kwak | Internal Medicine | 5841 S Maryland Ave Rm J-517, Chicago, IL 60637 | 2015-06-22 |
| 1154749042 | Joshua Michael Steinberg | Internal Medicine | 5841 S Maryland Ave # 4076, Chicago, IL 60637-1443 | 2014-03-28 |
| 1447599311 | Seymour Marshall Sabesin | Internal Medicine | 630 S Hermitage Ave, Suite 802, Chicago, IL 60612-3874 | 2013-02-12 |
| 1265796429 | Jonathan Mark Erlich | Internal Medicine | 7447 W Talcott Ave Ste 209, Chicago, IL 60631-3713 | 2012-07-02 |
| 1255628921 | Michael O Blackstone | Internal Medicine | 4103 N Harding Ave, Chicago, IL 60618-1913 | 2011-07-01 |
| 1346533213 | Amanda Guentner | Internal Medicine | 259 E Erie St Ste 2250, Chicago, IL 60611-3264 | 2011-05-25 |
| 1962795450 | Christine Chan | Internal Medicine | 429 W Melrose St, Apt. 2e, Chicago, IL 60657-3878 | 2011-05-17 |
| 1295039865 | Cemal Yazici | Internal Medicine | 840 S Wood Street Suite 718e, Chicago, IL 60612 | 2010-12-22 |
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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.