Wingo, Michael W.

Wingo, Michael W. is an individual health care provider with primary practice located at 101 W University Ave , Champaign IL 61820-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Wingo, Michael W. can be contacted via phone (217) 366-1304.

Contact Information

Primary practice address
101 W University Ave Champaign IL 61820-3909
Phone: (217) 366-1304
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-082833 Illinois

Profile Details

NPI number 1568471118
LBN Legal business name Wingo, Michael W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Oct 2nd, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568471118 NPPES
Illinois Other 060016817 RAILROAD MEDICARE
Illinois Other 279500 RAILROAD MEDICARE
Illinois MEDICAID 1568471118 1 RAILROAD MEDICARE

Popular Providers