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General NPI Number Information
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NPI Number | 1871533778
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Entity Type | Individual
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Provider Name | ALEXANDER MALCOLM WU MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 5359 W FULLERTON
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City | CHICAGO
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State | IL
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Zip | 60639
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Country | US
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Telephone | 773-836-2785
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Fax | 773-836-7381
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Provider Business Mailing Address
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Address Line | 1740 W TAYLOR ST UNIVERSITY OF ILLINOIS HOSPITAL
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City | CHICAGO
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State | IL
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Zip | 60612-7232
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Country | US
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Telephone | 312-996-4185
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Fax | 312-413-7901
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036095568
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License Number State | IL
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