Organization Active NPI

Sze K Wong M D S C

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1831488154
Registry record updated Apr 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036078670 Issued in IL
Legal business name
SZE K WONG M D S C
Practice address
2323 S Wentworth Ave
Suite 201
Chicago, IL 60616-4615
Phone
(312) 842-0100
Fax
(312) 842-4967
NPI assigned
Apr 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2011

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

Authorized official

Name
Dr. Sze Kin Wong, M.D.
Title
President
Phone
(312) 842-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036078670 IL Primary

Addresses

Primary practice location

2323 S Wentworth Ave
Suite 201
Chicago, IL 60616-4615

Mailing address

2323 S Wentworth Ave
Suite 201
Chicago, IL 60616-4615
Phone (312) 842-0100

Other identifiers 1

IdentifierTypeStateIssuer
036078670MedicaidIL

National Provider Directory

National Provider Directory

Locations

2323 S Wentworth Ave
Ste 201
Chicago, IL 60616
Phone (312) 567-2900

NPI Registry JSON

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

{
    "created_epoch": "1302134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302134400000",
    "number": "1831488154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 S WENTWORTH AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164615",
            "telephone_number": "312-842-0100",
            "fax_number": "312-842-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 S WENTWORTH AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164615",
            "telephone_number": "312-842-0100",
            "fax_number": "312-842-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SZE K WONG M D S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-07",
        "last_updated": "2011-04-07",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SZE",
        "authorized_official_middle_name": "KIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-842-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036078670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036078670",
            "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 Apr 7, 2011; 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.