Organization Active NPI

Chen Chii Wang MD SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1871768960
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CHEN CHII WANG MD SC
Practice address
8012 S Ashland Ave
Chicago, IL 60620-4387
Phone
(630) 790-2930
Fax
(630) 790-2930
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Chen Chii Wang, MD
Title
President
Phone
(630) 790-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

8012 S Ashland Ave
Chicago, IL 60620-4387

Mailing address

PO Box 525
Palos Heights, IL 60463-0525
Phone (630) 790-2929

Other identifiers 1

IdentifierTypeStateIssuer
036049733MedicaidIL

Other names 1

  • chen chii wang Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1871768960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604630525",
            "telephone_number": "630-790-2929",
            "fax_number": "630-790-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204387",
            "telephone_number": "630-790-2930",
            "fax_number": "630-790-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN CHII WANG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHEN CHII",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-790-2929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036049733",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chen chii wang",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 29, 2008; 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.