| Shirley S Wong M.d.s.c. | |
|
2600 S Michigan Ave Ste 408 Chicago IL 60616-2696 | |
| (312) 808-9000 | |
| (312) 808-9680 |
| Full Name | Shirley S Wong M.d.s.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 S Michigan Ave Ste 408, Chicago, Illinois |
| Authorized Official Name and Position | Shirley Wong (OWNER AND PHYSICIAN) |
| Authorized Official Contact | 3128080900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley S Wong M.d.s.c. 2600 S Michigan Ave Ste 408 Chicago IL 60616-2696 Ph: (312) 808-9000 | Shirley S Wong M.d.s.c. 2600 S Michigan Ave Ste 408 Chicago IL 60616-2696 Ph: (312) 808-9000 |
| NPI Number | 1881728038 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 11/26/2021 |
| Medicare PECOS PAC ID | 7315063377 |
|---|---|
| Medicare Enrollment ID | O20100927001411 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881728038 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| 208000000X | Pediatrics | (Illinois) | Secondary |
| Provider Name | Jane Y Mann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912085580 PECOS PAC ID: 3173596756 Enrollment ID: I20080718000613 |
| Provider Name | Catherine T Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659532877 PECOS PAC ID: 4981760493 Enrollment ID: I20090309000474 |
| Provider Name | Shirley S Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386738060 PECOS PAC ID: 9830215896 Enrollment ID: I20100927001468 |
| Provider Name | Linda Steeb |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740454404 PECOS PAC ID: 8820236151 Enrollment ID: I20130529000112 |
| Provider Name | Brian Luc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376833657 PECOS PAC ID: 9234352014 Enrollment ID: I20140811001577 |
| Provider Name | Vania Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518351758 PECOS PAC ID: 7012227291 Enrollment ID: I20190919001544 |
| Provider Name | Joanie Ng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417695982 PECOS PAC ID: 9537534482 Enrollment ID: I20230407001053 |
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