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NPI Code Detail

MEDICARE: DR. QUN WU MD, MB

MEDICARE: DR. QUN WU MD, MB
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
12084P0800XPsychiatry Physician01071874AIN
22084P0800XPsychiatry Physician036125727IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000791195OTHERINANTHEM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184792020
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. QUN WU MD, MB
Provider Business Mailing Address
First Line : 721 E COURT ST
Second Line :
City : PARIS
State : IL
Zip : 61944-2460
Country : US
Telephone Number : 217-465-4141
Fax Number : 217-465-5615
Provider Business Practice Location Address
First Line : 8555 TAFT ST
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-6123
Country : US
Telephone Number : 773-490-1544
Fax Number : 219-769-2508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/16/2025

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Directions to “ DR. QUN WU MD, MB” Practice Location

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