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General NPI Number Information
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NPI Number | 1811561277
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Entity Type | Individual
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Provider Name | MATTHEW WU DO
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Gender | Male
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 3303 S HALSTED ST
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City | CHICAGO
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State | IL
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Zip | 60608-6877
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Country | US
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Telephone | 773-890-0800
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Fax | 773-890-5430
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Provider Business Mailing Address
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Address Line | 29373 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1293
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Country | US
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Telephone | 847-390-5900
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Fax | 847-390-4757
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036175984
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL83572
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.017266
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License Number State | OH
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