Active NPI
John C Wu, M.D.
- General Practice Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 036105600
- Practice address
- 2306 East 75TH Street
Chicago, IL 60649 - Phone
- (773) 731-0014
- Fax
- (773) 731-2034
- NPI assigned
- Nov 13, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036105600 | IL | |
| Surgery Physician | 208600000X | 036105600 | IL | |
| Vascular Surgery Physician | 2086S0129X | 036105600 | IL | |
| General Practice Physician | 208D00000X | 036105600 | IL | Primary |
Addresses
Primary practice location
2306 East 75TH Street
Chicago, IL 60649
Mailing address
2306 East 75TH Street
Chicago, IL 60649
Phone (773) 731-0014
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020052978 | Other | IL | RAIL ROAD PROVIDER NO. |
| 016-28281 | Other | IL | BLUE CROSS& BLUE SHIELD |
| 036105600 | Medicaid | IL | |
| 14D0697995 | Other | IL | CLIA NO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Northwestern University Feinberg Medical School, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2306 E 75TH St
Chicago, IL 60649-3306
2425 W 22ND St
101 Oak Brook Surgical Center
Oak Brook, IL 60523-4642
Phone (630) 990-2212
Hospital & facility affiliations
- Rush Oak Park Hospital
- South Shore Hospital
- Advocate Good Samaritan Hospital
- Rush University Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 186 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation for Outreach Services | Family Medicine | Current | Accepting new patients |
| Jackson Park Hospital Foundation | Current | Accepting new patients |
Locations
326 W 64th St
Chicago, IL 60621
Phone (773) 962-3900
Interoperability endpoints
- johnwu@jph.medalliesdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1316350242
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1558391706
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1053391359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727481600000",
"number": "1033281506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2306 EAST 75TH STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60649",
"telephone_number": "773-731-0014",
"fax_number": "773-731-2034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2306 EAST 75TH STREET",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60649",
"telephone_number": "773-731-0014",
"fax_number": "773-731-2034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2024-09-28",
"certification_date": "2024-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036105600",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036105600",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036105600",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "036105600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD PROVIDER NO.",
"identifier": "020052978",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS& BLUE SHIELD",
"identifier": "016-28281",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036105600",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA NO",
"identifier": "14D0697995",
"state": "IL"
}
],
"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 Sep 28, 2024; 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.