Simon Wu Md Ltd

LBN: Simon Wu Md Ltd
Simon Wu Md Ltd is an health care organization with primary practice located at 400 N Wall St Ste 303 , Kankakee IL 60901-2964. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Simon Wu Md Ltd can be contacted via phone (815) 933-1664, or through Klinckman, Jennifer L via phone (815) 933-1664.

Contact Information

Primary practice address
400 N Wall St Ste 303 Kankakee IL 60901-2964
Phone: (815) 933-1664
Fax: (815) 935-5660
Website:
Map and Directions
Authorized official contact:
Name: Klinckman, Jennifer L
Phone: (815) 933-1664

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1831187715
LBN Legal business name Simon Wu Md Ltd
DBA Doing business as
Authorized official Klinckman, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Sep 12th, 2018 - about 7 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1831187715 NPPES
Illinois MEDICAID 036089802

Popular Providers