Individual provider Active NPI

John C Wu, M.D.

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1033281506
Registry record updated Sep 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
036105600 Issued in IL
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

Updated by the provider on Sep 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
020052978OtherILRAIL ROAD PROVIDER NO.
016-28281OtherILBLUE CROSS& BLUE SHIELD
036105600MedicaidIL
14D0697995OtherILCLIA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120404000055 IL Practitioner - General SurgeryPractitioner - Family Practice 2860652567 Reassigns benefits to 1 organization
Practice locations: Chicago, IL; Oak Brook, IL; Oak Park, IL

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue186

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation for Outreach Services Family Medicine CurrentSince May 5, 2019 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.