Wang, Mu

Wang, Mu is an individual health care provider with primary practice located at 611 W. Park St. Pediatrics, Urbana IL 61801. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wang, Mu can be contacted via phone (217) 383-3100.

Contact Information

Primary practice address
611 W. Park St. Pediatrics Urbana IL 61801
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036118219 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 47590 Minnesota

Profile Details

NPI number 1194799684
LBN Legal business name Wang, Mu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated May 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194799684 NPPES
Illinois Other IL2613037 MEDICARE INDIVIDUAL PTAN
Illinois Other IL2613 MEDICARE INDIVIDUAL PTAN
Illinois MEDICAID 777630600 MEDICARE INDIVIDUAL PTAN

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