Individual provider Active NPI

Peggy Wang, MD

  • Family Medicine Physician
  • Skokie, IL
National Provider Identifier
1023247699
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125056304 Issued in IL
Practice address
8800 Lockwood Ave
Skokie, IL 60077-1500
Phone
(847) 983-1400
Fax
(847) 966-8071
NPI assigned
Jul 4, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125056304 IL Primary

Addresses

Primary practice location

8800 Lockwood Ave
Skokie, IL 60077-1500

Mailing address

8800 Lockwood Ave
Skokie, IL 60077-1500
Phone (847) 983-1400

Other practice location 1

2501 W Peterson ave
chicago, IL 60659
Phone (773) 761-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000761 IL Practitioner - Family Practice 9739338401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2501 W Peterson Ave
Chicago, IL 60659-4108
Phone (773) 761-0300

8800 Lockwood Ave
Skokie, IL 60077-1500
Phone (773) 761-0300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125056304ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Human Services Family Health Center CurrentSince Aug 8, 2023 Accepting new patients
Asian Human Services Family Health Center, Inc. CurrentSince Aug 8, 2023 Accepting new patients
Asian Human Services Family Health Center, Inc Past Accepting new patients

Locations

2501 W Peterson Ave
Chicago, IL 60659
Phone (773) 761-0300

6301 N Western Ave
Chicago, IL 60659
Phone (773) 761-0300

8800 Lockwood Ave
Skokie, IL 60077
Phone (773) 761-0300

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: peggy.wang.1@18313.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1023247699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 LOCKWOOD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771500",
            "telephone_number": "847-983-1400",
            "fax_number": "847-966-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 LOCKWOOD AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771500",
            "telephone_number": "847-983-1400",
            "fax_number": "847-966-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 W Peterson ave",
            "address_purpose": "LOCATION",
            "city": "chicago",
            "state": "IL",
            "postal_code": "60659",
            "country_code": "US",
            "telephone_number": "773-761-0300",
            "fax_number": "773-761-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WANG",
        "first_name": "PEGGY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-04",
        "last_updated": "2022-02-10",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125056304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

Verify at the official NPI Registry.