Active NPI
Andrew Wang, M.D.
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036144765
- Practice address
- 4753 N Broadway St Ste 403
Chicago, IL 60640-7910 - Phone
- (773) 989-2780
- NPI assigned
- Jun 20, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 81792 | MN | |
| Psychiatry Physician | 2084P0800X | 036144765 | IL | Primary |
Addresses
Primary practice location
4753 N Broadway St Ste 403
Chicago, IL 60640-7910
Mailing address
4753 N Broadway St Ste 403
Chicago, IL 60640-7910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MN, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4753 N Broadway St
Suite 403
Chicago, IL 60640-7910
Phone (773) 989-2780
7115 Forthun Rd
Suite 105
Baxter, MN 56425-8598
Phone (218) 454-0090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036144765 | IL | MD | Psychiatry Physician |
| 81792 | MN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients |
Locations
4753 N Broadway St
Ste 403
Chicago, IL 60640
Phone (773) 989-2780
7115 Forthun Rd
Ste 105
Baxter, MN 56425
Phone (218) 454-0090
7601 Wayzata Blvd
St Louis Park, MN 55426
Phone (612) 223-8899
Interoperability endpoints
- andrew.wang.1@28621.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Clinical Psychologist
- Chicago, IL
- NPI 1023888450
-
- Critical Access Hospital
- Waverly, TN
- NPI 1235387044
-
- Clinical Psychologist
- Baxter, MN
- NPI 1124898556
-
- Critical Access Hospital
- Centerville, TN
- NPI 1245275254
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1437194669
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776902400000",
"number": "1023422797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4753 N BROADWAY ST STE 403",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4753 N BROADWAY ST STE 403",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606407910",
"telephone_number": "773-989-2780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-20",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "81792",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036144765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.