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
Phone: (217) 383-3100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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