Active NPI
Alton Wong MD, SC
- Hematology & Oncology Physician
- Chicago, IL
National Provider Identifier
1649452699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 042.007690
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31601972 | Other | IL | BS PROV ID |
National Provider Directory
National Provider DirectoryLocations
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.