Active NPI
Yong Gao Wang, L. AC.
- Acupuncturist
- Chicago, IL
National Provider Identifier
1619172046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Practice address
- 30 N Michigan Ave
Suite 1922
Chicago, IL 60602-3402 - Phone
- (312) 899-9999
- Fax
- (312) 899-8119
- NPI assigned
- Jun 16, 2007
- Last updated
- Nov 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | IL | Primary |
Addresses
Primary practice location
30 N Michigan Ave
Suite 1922
Chicago, IL 60602-3402
Mailing address
30 N Michigan Ave
Suite 1922
Chicago, IL 60602-3402
Phone (312) 899-9999
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198.000322 | IL | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WX Medical Center Corp | Acupuncturist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194048000000",
"number": "1619172046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE",
"address_2": "SUITE 1922",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023402",
"telephone_number": "312-899-9999",
"fax_number": "312-899-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 N MICHIGAN AVE",
"address_2": "SUITE 1922",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606023402",
"telephone_number": "312-899-9999",
"fax_number": "312-899-8119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "YONG",
"middle_name": "GAO",
"credential": "L. AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-16",
"last_updated": "2007-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": null,
"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 Nov 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.