Qun Wu Md

LBN: Qun Wu Md
Qun Wu Md is an health care organization with primary practice located at 855 W 103Rd St 100, Chicago IL 60643-2357. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Qun Wu Md can be contacted via phone (773) 239-9600, or through Ratcliffe, Angela J via phone (773) 239-9600.

Contact Information

Primary practice address
855 W 103Rd St 100 Chicago IL 60643-2357
Phone: (773) 239-9600
Fax: (773) 239-9601
Website:
Map and Directions
Authorized official contact:
Name: Ratcliffe, Angela J
Phone: (773) 239-9600

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 036125727 Illinois
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 036125727 Illinois
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 036125727 Illinois

Profile Details

NPI number 1669730107
LBN Legal business name Qun Wu Md
DBA Doing business as
Authorized official Ratcliffe, Angela J
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2012
Last updated May 2nd, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669730107 NPPES
Illinois MEDICAID 036125727

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