Individual provider Active NPI

Feng Wen, PA-C

  • Physician Assistant
  • Berwyn, IL
National Provider Identifier
1154717916
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005886 Issued in IL
Practice address
6447 Cermak Rd
Berwyn, IL 60402-2311
Phone
(773) 254-1400
Fax
(708) 656-0349
NPI assigned
Apr 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085005886 IL
Physician Assistant 363A00000X 085005886 IL Primary

Addresses

Primary practice location

6447 Cermak Rd
Berwyn, IL 60402-2311

Mailing address

966 W 21St St
Chicago, IL 60608-4511
Phone (773) 254-1400

Other practice location 1

966 W 21st St
Chicago, IL 60608-4511
Phone (773) 254-1400

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidIL

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
I20170921002553 IL Practitioner - Physician Assistant 5395019871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Northwestern University Feinberg Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cermak Medical Group LLCGroup PAC ID 7113269242, 21 clinicians
Alivio Medical Center, Inc.Group PAC ID 5698840924, 23 clinicians

Practice addresses (Care Compare)

1669 Algonquin Rd
Rolling Meadows, IL 60008-4290
Phone (847) 258-4500

2355 S Western Ave
Chicago, IL 60608-3837
Phone (773) 254-1400

2380 S Elmhurst Rd
Mt Prospect, IL 60056-5805
Phone (708) 222-0100

2408 W Cermak Rd
Suite 10
Chicago, IL 60608-3704
Phone (708) 222-0100

5741 W Cermak Rd
Cicero, IL 60804-2129
Phone (708) 222-0100

6447 Cermak Rd
Berwyn, IL 60402-2311
Phone (773) 254-1400

966 W 21St St
Chicago, IL 60608-4511
Phone (773) 254-1400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
085005886ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alivio Medical Center, Inc. CurrentSince Sep 12, 2016 Accepting new patients
Alivio Medical Center, Inc. CurrentSince Sep 12, 2016 Accepting new patients

Locations

6447 Cermak Rd
Berwyn, IL 60402
Phone (773) 254-1400

966 W 21st St
Chicago, IL 60608
Phone (773) 254-1400

2355 S Western Ave
Chicago, IL 60608
Phone (773) 254-1400

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1154717916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 W 21ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084511",
            "telephone_number": "773-254-1400",
            "fax_number": "312-829-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6447 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022311",
            "telephone_number": "773-254-1400",
            "fax_number": "708-656-0349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "966 W 21st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606084511",
            "country_code": "US",
            "telephone_number": "773-254-1400",
            "fax_number": "312-829-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEN",
        "first_name": "FENG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-08",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085005886",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.