Wu, Jack S.

Wu, Jack S. is an sole proprietor health care provider with primary practice located at 800 W Central Rd Department Of Emergency Medicine, Arlington Heights IL 60005-2349. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Wu, Jack S. can be contacted via phone (847) 618-3040.

Contact Information

Primary practice address
800 W Central Rd Department Of Emergency Medicine Arlington Heights IL 60005-2349
Phone: (847) 618-3040
Fax: (847) 618-3049
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-114930 Illinois

Profile Details

NPI number 1154548089
LBN Legal business name Wu, Jack S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Jul 14th, 2015 - 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 1154548089 NPPES
Illinois Other 036114930 BLUE CROSS BLUE SHIELD OF ILLINOIS
Illinois MEDICAID 1154548089 BLUE CROSS BLUE SHIELD OF ILLINOIS

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