Individual provider Active NPI

Wai H Lam, PA-C

  • Medical Physician Assistant
  • Chicago, IL
National Provider Identifier
1154566594
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085003395 Issued in IL
Practice address
1740 W Taylor St Ste 2139-D
Chicago, IL 60612-7232
Phone
(312) 996-9736
Fax
(312) 996-1334
NPI assigned
Dec 15, 2008
Last updated
Mar 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085003395 IL Primary

Addresses

Primary practice location

1740 W Taylor St Ste 2139-D
Chicago, IL 60612-7232

Mailing address

1740 W Taylor St Ste 2139-D
Chicago, IL 60612-7232
Phone (312) 996-9736

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090226000165 IL Practitioner - Physician Assistant 1456417526 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1801 W Taylor St
Chicago, IL 60612-4795

1855 W Taylor St
Chicago, IL 60612-7242
Phone (312) 996-6590

5525 S Pulaski Rd
Chicago, IL 60629-4400
Phone (312) 996-2779

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Jan 15, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Feb 1, 2009 Accepting new patients
Rush University Medical Group CurrentSince Oct 1, 2020 Accepting new patients
The University of Chicago Medical Center CurrentSince Jan 15, 2021 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Feb 1, 2009 Accepting new patients
Rush University Medical Center CurrentSince Oct 1, 2020 Accepting new patients
Board of Trustees of the University of Illinois Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 161
Chicago, IL 60612
Phone (312) 942-4252

1725 W Harrison St
Ste 352
Chicago, IL 60612
Phone (312) 563-3447

1740 W Taylor St
Ste 2139D
Chicago, IL 60612
Phone (312) 996-9736

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

75 Remittance Dr
Dept 1611
Chicago, IL 60675

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Interoperability endpoints

  • Direct secure messaging: wlam135377@direct.rush.rush-health.com
  • Direct secure messaging: wlam171733@uihealth.direct-ci.com

Organizations & group practices 9

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

Hospital & facility affiliations 1

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": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1154566594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST STE 2139-D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-9736",
            "fax_number": "312-996-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST STE 2139-D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-9736",
            "fax_number": "312-996-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "WAI",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-15",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085003395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.