MEDICARE: JOHN WANG DO

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	207Q00000X	Family Medicine Physician	37762	TN
2	207Q00000X	Family Medicine Physician	37762	SC
3	207Q00000X	Family Medicine Physician	125060808	IL
4	207P00000X	Emergency Medicine Physician	LP01289	RI

Other Identifiers

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

General Provider Information

NPI Number	:	1558511519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN WANG DO

Provider Business Mailing Address
First Line	:	520 NORTH FOURTH STREET
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 NORTH FOURTH STREET
Second Line	:
City	:	SPRINGFIELD
State	:	IL
Zip	:	62794
Country	:	US
Telephone Number	:	217-545-8000
Fax Number	:

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

Provider Enumeration Date	:	09/26/2008
Last Update Date	:	11/16/2021

Similar Medicare Providers

1467527317 — DR. MICHAEL B HALLE MD
Practice Location Address:

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039

1083695811 — DR. JOHN MARK RUSCIN PHARM.D.
Practice Location Address:

701 N. FIRST STREET
SPRINGFIELD, IL
62794-9636

Practice Phone: 217-545-3934
Practice Fax: 217-545-7127

1386759264 — DR. DAVID BUOY GRAHAM MD
Practice Location Address:

520 NORTH 4TH STREET
SPRINGFIELD, IL
62794-9670

Practice Phone: 217-757-8100
Practice Fax: 217-747-1351

1659431351 — UNIVERSITY OF ILLINOIS
Practice Location Address:

2815 W WASHINGTON , SUITE 300
SPRINGFIELD, IL
62794-9481

Practice Phone: 217-793-2350
Practice Fax: 217-793-0773

1255623997 — DR. VENKATA SASIDHAR MAJJIGA MD
Practice Location Address:

301 N 8TH STREET, SIU SCHOOL OF MEDICINE, PEDIATRICS , ROOM 3A169
SPRINGFIELD, IL
62794

Practice Phone: 217-545-7732
Practice Fax: 217-757-6488

1750645263 — DR. SCHUYLER WHITNEY STONE
Practice Location Address:

701 NORTH 1ST STREET
SPRINGFIELD, IL
62794-9636

Practice Phone: 217-545-8000
Practice Fax: 217-545-7127

Directions to “ JOHN WANG DO” 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.