Meng Wang, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

041.521383 Issued in IL

Practice address

2238 E Grand Ave
Lindenhurst, IL 60046-7522

Phone

(970) 313-3575

NPI assigned

Jan 16, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1275394496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 E GRAND AVE",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467522",
            "telephone_number": "970-313-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2238 E GRAND AVE",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600467522",
            "telephone_number": "970-313-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANG",
        "first_name": "MENG",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "TX",
            "license": "1114733",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "IL",
            "license": "041.521383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victory Health Services
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• Walgreen Co
• Walgreen Co.
• Waukegan Clinic Corp
• Waukegan Illinois Hospital Company LLC
• Waukegan Illinois Hospital Company, LLC
• Jeffrey Wells
• Cori Michelle Wiedrich, DC

• Medical-Surgical Registered Nurse in Lindenhurst, IL
• Providers in Lindenhurst, IL by specialty
• Medical-Surgical Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.