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NPI Code Detail

MEDICARE: CHICAGO NORTH MEDICAL PARTNERSHIP

MEDICARE: CHICAGO NORTH MEDICAL PARTNERSHIP
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
1173000000XLegal Medicine036067628IL
2173000000XLegal Medicine036047143IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467669200
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHICAGO NORTH MEDICAL PARTNERSHIP
Provider Business Mailing Address
First Line : 5308 N BROADWAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-2312
Country : US
Telephone Number : 773-784-2822
Fax Number : 773-784-3931
Provider Business Practice Location Address
First Line : 5308 N BROADWAY ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-2312
Country : US
Telephone Number : 773-784-2822
Fax Number : 773-784-3931
Authorized Official
Title or Position : SR. MANAGER
Name : DR. MING S WU
Credential : M.D.
Telephone Number : 773-784-2822
Provider Enumeration Date : 05/17/2007
Last Update Date : 04/16/2014

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Directions to “CHICAGO NORTH MEDICAL PARTNERSHIP ” Practice Location

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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.

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