Individual provider Active NPI

Alexander Malcolm Wu, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1871533778
Registry record updated Oct 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036095568 Issued in IL
Practice address
5359 W Fullerton
Chicago, IL 60639
Phone
(773) 836-2785
Fax
(773) 836-7381
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036095568 IL Primary

Addresses

Primary practice location

5359 W Fullerton
Chicago, IL 60639

Mailing address

1740 W Taylor St
University of Illinois Hospital
Chicago, IL 60612-7232
Phone (312) 996-4185

Other practice location 1

1740 W Taylor St
University of Illinois Hospital
Chicago, IL 60612-7232
Phone (312) 996-4185

Other practice location 2

1220 S Wood St
Chicago, IL 60608-1202
Phone (312) 996-2000

Other identifiers 1

IdentifierTypeStateIssuer
036095568MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040228000524 IL Practitioner - Family Practice 6709773310 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036095568ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois CurrentSince Aug 13, 2025 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
PCC Community Wellness Center CurrentSince Jan 1, 2004 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 13, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Sep 16, 2025 Accepting new patients
PCC Community Wellness Center CurrentSince Jan 1, 2004 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
West Suburban Hospital Medical Center Past Accepting new patients
West Suburban Medical Center Family Medicine Past Accepting new patients

Locations

5359 W Fullerton Ave
Chicago, IL 60639
Phone (773) 836-2785

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000

7702 Solution Ctr
Chicago, IL 60677

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

14 Lake St
Oak Park, IL 60302
Phone (708) 383-0113

Interoperability endpoints

  • Direct secure messaging: awu192147@uihealth.direct-ci.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1871533778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "address_2": "UNIVERSITY OF ILLINOIS HOSPITAL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "312-996-4185",
            "fax_number": "312-413-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5359 W FULLERTON",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60639",
            "telephone_number": "773-836-2785",
            "fax_number": "773-836-7381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 W Taylor St",
            "address_2": "University of Illinois Hospital",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606127232",
            "country_code": "US",
            "telephone_number": "312-996-4185",
            "fax_number": "312-413-7901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 S Wood St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606081202",
            "country_code": "US",
            "telephone_number": "312-996-2000",
            "fax_number": "312-413-7818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "ALEXANDER",
        "middle_name": "MALCOLM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036095568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095568",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.