Crystal Lake Medical Center

LBN: Brian M Wu Md Sc
Crystal Lake Medical Center is an health care organization with primary practice located at 6317 Northwest Hwy , Crystal Lake IL 60014. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as the primary health care specialty. Brian M Wu Md Sc can be contacted via phone (815) 459-4333, or through Wu, Brian M via phone (815) 459-4333.

Contact Information

Primary practice address
6317 Northwest Hwy Crystal Lake IL 60014
Phone: (815) 459-4333
Fax: (815) 477-7279
Website:
Map and Directions
Authorized official contact:
Name: Wu, Brian M Doctor of Medicine (MD)
Phone: (815) 459-4333

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X Illinois

Profile Details

NPI number 1760546931
LBN Legal business name Brian M Wu Md Sc
DBA Doing business as Crystal Lake Medical Center
Authorized official Wu, Brian M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 22nd, 2020 - about 5 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 1760546931 NPPES
Illinois MEDICAID 0366056698

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