NPI Code Detail JSON Logo

1043960982 NPI number — VICTORIA HONG WANG MD

NPI Number: 1043960982
Health Care Provider/Practitioner: VICTORIA HONG WANG MD

Information about “1043960982” NPI (VICTORIA HONG WANG MD) exists in 1043960982 in HTML format HTML  |  1043960982 in plain Text format TXT  |  1043960982 in PDF (Portable Document Format) PDF  |  1043960982 in an XML format XML  formats.

NPI Number : 1043960982 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043960982",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WANG",
    "FirstName": "VICTORIA",
    "MiddleName": "HONG",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "180 HARVESTER DR STE 110",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURR RIDGE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60527-6686",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "773-702-1150",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5841 S MARYLAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CHICAGO",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60637-1443",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "773-702-6138",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/24/2022",
    "LastUpdateDate": "07/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207R00000X",
        "TaxonomyName": "Internal Medicine Physician",
        "LicenseNumber": "13510325-1205",
        "LicenseNumberStateCode": "UT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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