Organization Active NPI

J.L. Wu, D.P.M., P.C.

  • Foot & Ankle Surgery Podiatrist
  • Bartlett, IL
National Provider Identifier
1619977006
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
J.L. WU, D.P.M., P.C.
Practice address
108 W Bartlett Ave
Bartlett, IL 60103-4235
Phone
(630) 483-2212
Fax
(630) 483-2237
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Johnny L Wu, D.P.M.NPI 1467452763
Title
Owner
Phone
(630) 483-2212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X IL Primary

Addresses

Primary practice location

108 W Bartlett Ave
Bartlett, IL 60103-4235

Mailing address

108 W Bartlett Ave
Bartlett, IL 60103-4235
Phone (630) 483-2212

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619977006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 W BARTLETT AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034235",
            "telephone_number": "630-483-2212",
            "fax_number": "630-483-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W BARTLETT AVE",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034235",
            "telephone_number": "630-483-2212",
            "fax_number": "630-483-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.L. WU, D.P.M., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-483-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.