Active NPI
Eric Wing
- Dentist
- Chicago, IL
National Provider Identifier
1366377202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.037162
- Practice address
- 1828 W Foster Ave
Chicago, IL 60640-1479 - Phone
- (872) 888-9339
- NPI assigned
- Jun 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.037162 | IL | Primary |
Addresses
Primary practice location
1828 W Foster Ave
Chicago, IL 60640-1479
Mailing address
318 W 24TH St
Chicago, IL 60616-2216
Other practice location 1
3514 N Lincoln Ave
Chicago, IL 60657-1104
Phone (773) 915-6270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1366377202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 W 24TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606162216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1828 W FOSTER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401479",
"telephone_number": "872-888-9339"
}
],
"practiceLocations": [
{
"address_1": "3514 N Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606571104",
"country_code": "US",
"telephone_number": "773-915-6270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WING",
"first_name": "ERIC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-06-13",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.037162",
"primary": true
}
],
"identifiers": [],
"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 Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.