Organization Active NPI

Alton Wong MD, SC

  • Hematology & Oncology Physician
  • Chicago, IL
National Provider Identifier
1649452699
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
042.007690 Issued in IL
Legal business name
ALTON WONG MD, SC
Practice address
2600 S Michigan Ave
Ste 403
Chicago, IL 60616-2857
Phone
(773) 585-1955
Fax
(312) 674-0248
NPI assigned
Dec 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Alton Wong, MD
Title
President
Phone
(312) 560-1080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X 042.007690 IL Primary

Addresses

Primary practice location

2600 S Michigan Ave
Ste 403
Chicago, IL 60616-2857

Mailing address

PO Box 3426
Oak Park, IL 60303-3426
Phone (773) 585-1955

Other identifiers 1

IdentifierTypeStateIssuer
31601972OtherILBS PROV ID

National Provider Directory

National Provider Directory

Locations

2600 S Michigan Ave
Ste 403
Chicago, IL 60616
Phone (312) 842-8210

NPI Registry JSON

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

{
    "created_epoch": "1196553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1649452699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3426",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603033426",
            "telephone_number": "773-585-1955",
            "fax_number": "312-674-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE",
            "address_2": "STE 403",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162857",
            "telephone_number": "773-585-1955",
            "fax_number": "312-674-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTON WONG MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-02",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ALTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-560-1080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "042.007690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS PROV ID",
            "identifier": "31601972",
            "state": "IL"
        }
    ],
    "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 Feb 12, 2009; 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.