MEDICARE: JING BO 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	207R00000X	Internal Medicine Physician	315956	NY
2	207R00000X	Internal Medicine Physician	036153069	IL

General Provider Information

NPI Number	:	1013449800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JING BO WU

Provider Business Mailing Address
First Line	:	150 HARVESTER DR
Second Line	:	SUITE 300
City	:	BURR RIDGE
State	:	IL
Zip	:	60527-5919
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4199 MAIN ST STE 201
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11355-5164
Country	:	US
Telephone Number	:	718-961-1897
Fax Number	:	718-766-9749

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

Provider Enumeration Date	:	03/30/2017
Last Update Date	:	04/02/2026

Similar Medicare Providers

1790028025 — CHUAN JIANG M.D.
Practice Location Address:

4199 MAIN ST STE 202C
FLUSHING, NY
11355-5164

Practice Phone: 718-285-6606
Practice Fax:

1932506094 — MS. MICHELLE LI
Practice Location Address:

4199 MAIN ST STE 201
FLUSHING, NY
11355-5164

Practice Phone: 718-961-1897
Practice Fax: 718-766-9749

1073061164 — CHANG BI ZOU
Practice Location Address:

4199 MAIN ST STE 201
FLUSHING, NY
11355-5164

Practice Phone: 718-961-1897
Practice Fax:

1386163012 — PAO-JU TSENG NURSE PRACTITIONER
Practice Location Address:

4199 MAIN ST STE 201
FLUSHING, NY
11355-5164

Practice Phone: 718-961-1897
Practice Fax: 718-766-9749

1417455569 — XUE XU
Practice Location Address:

4199 MAIN ST STE 201
FLUSHING, NY
11355-5164

Practice Phone: 718-961-1897
Practice Fax:

1518522085 — LAON PHYSICAL THERAPY PC
Practice Location Address:

4199 MAIN ST STE 202B
FLUSHING, NY
11355-5164

Practice Phone: 929-398-3120
Practice Fax: 833-985-0130

Directions to “ JING BO WU ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.