NPIMap

Organization Active NPI

Chicago North Medical Partnership

  • Legal Medicine
  • Chicago, IL
National Provider Identifier
1467669200
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
036047143 Issued in IL
Legal business name
CHICAGO NORTH MEDICAL PARTNERSHIP
Practice address
5308 N Broadway St
Chicago, IL 60640-2312
Phone
(773) 784-2822
Fax
(773) 784-3931
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Dr. Ming S Wu, M.D.
Title
Sr. Manager
Phone
(773) 784-2822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X 036047143 IL Primary
Legal MedicineGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 173000000X 036067628 IL

Addresses

Primary practice location

5308 N Broadway St
Chicago, IL 60640-2312

Mailing address

5308 N Broadway St
Chicago, IL 60640-2312
Phone (773) 784-2822

Other identifiers 2

IdentifierTypeStateIssuer
036047143MedicaidIL
036067628MedicaidIL

Other names 1

  • ming s. wu & peter e. chou Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1467669200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402312",
            "telephone_number": "773-784-2822",
            "fax_number": "773-784-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5308 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402312",
            "telephone_number": "773-784-2822",
            "fax_number": "773-784-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO NORTH MEDICAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "MING",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SR. MANAGER",
        "authorized_official_telephone_number": "773-784-2822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036047143",
            "primary": true
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036067628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036047143",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067628",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ming s. wu & peter e. chou",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 16, 2014; 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.