People'S Medical Center LTD

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

036120765 Issued in IL

Legal business name

PEOPLE'S MEDICAL CENTER LTD

Practice address

2001 S California Ave
Chicago, IL 60608-2486

Phone

(773) 484-4425

Fax

(773) 484-1030

NPI assigned

Apr 17, 2009

Organization subpart

No

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

Authorized official

Name

Edward Haochuan Wang, M.DNPI 1982806279

Title

President

Phone

(312) 532-7726

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Edward Haochuan Wang, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1982806279
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1710120985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-484-4425",
            "fax_number": "773-484-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S CALIFORNIA AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082486",
            "telephone_number": "773-484-4425",
            "fax_number": "773-484-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEOPLE'S MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "HAOCHUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-532-7726",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036120765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120765",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Love Penzell
• Katie Peo, M.S. CCC-SLP
• Peony Path Psychotherapy PLLC
• Peony Physical Therapy, PLLC
• People First Transportation
• Peoplepsych, LLC
• Peoples Homecare Agency Inc.
• Peoples Therapy of Chicago PLLC
• Aalanah Peoples
• Bruce Dale Peoples, M.D.

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.