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1477538874

NPI Code Detail

MEDICARE: DAVID W WU M.D.

MEDICARE: DAVID W WU M.D.

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	2085R0202X	Diagnostic Radiology Physician	2001002823	MO
2	2085R0202X	Diagnostic Radiology Physician	036107738	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1601306	OTHER	MO	UHC
2	462197	OTHER	MO	HEALTHLINK
3	431142188OSU	OTHER		MERCY
4	300122906	OTHER		TRAVELERS
5	000000014047	OTHER	MO	ESSENCE
6	140376000	OTHER		DEPT OF LABOR
7	283240	OTHER	MO	GHP
8	08221955	OTHER	IL	ILLINOIS BLUE
9	08221955	OTHER	MO	BLUE SHIELD
10	144352	OTHER	MO	BCBS
11	2207727	OTHER	MO	CIGNA
12	34311V3431	OTHER	MO	HEALTHCARE USA
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477538874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID W WU M.D.

Provider Business Mailing Address
First Line	:	4201 W MEDICAL CENTER DR
Second Line	:
City	:	MCHENRY
State	:	IL
Zip	:	60050-8409
Country	:	US
Telephone Number	:	815-334-5566
Fax Number	:	815-759-4008

Provider Business Practice Location Address
First Line	:	4201 W MEDICAL CENTER DR
Second Line	:
City	:	MCHENRY
State	:	IL
Zip	:	60050-8409
Country	:	US
Telephone Number	:	815-334-5566
Fax Number	:	815-759-4008

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

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	11/09/2023

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Directions to “ DAVID W WU M.D.” Practice Location

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