MEDICARE: KAI TING WU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	209022135	IL

General Provider Information

NPI Number	:	1528661311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAI TING WU

Provider Business Mailing Address
First Line	:	1725 W HARRISON ST STE 1010
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3845
Country	:	US
Telephone Number	:	312-942-5904
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 W HARRISON ST STE 1010
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3845
Country	:	US
Telephone Number	:	312-942-5904
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2020
Last Update Date	:	04/06/2026

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Directions to “ KAI TING WU ” Practice Location

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