Shirley S Wong M.D.S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SHIRLEY S WONG M.D.S.C.

Practice address

2600 S Michigan Ave Ste 408
Chicago, IL 60616-2696

Phone

(312) 808-9000

Fax

(312) 808-9680

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Shirley WongNPI 1386738060

Title

Owner and Physician

Phone

(312) 808-0900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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

• Shirley S Wong, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1386738060
  Medicare reassignment Care Compare group NPD Authorized official
• Catherine T. Lin, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1659532877
  Medicare reassignment Care Compare group NPD
• Vania Leung

  • Geriatric Medicine (Internal Medicine) Physician
  • Chicago, IL
  • NPI 1518351758
  Medicare reassignment NPD
• Brian Joseph Luc, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1376833657
  Medicare reassignment NPD
• Jane Y.C. Mann, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1912085580
  Medicare reassignment NPD
• Linda Steeb, DO

  • Internal Medicine Physician
  • Naperville, IL
  • NPI 1740454404
  Medicare reassignment NPD

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1881728038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162696",
            "telephone_number": "312-808-9000",
            "fax_number": "312-808-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE STE 408",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162696",
            "telephone_number": "312-808-9000",
            "fax_number": "312-808-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRLEY S WONG M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "312-808-0900"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sajjad Shirazi, DDS, PHD
• Shiri Vojta Psychotherapy PLLC
• Camron Shirkhodaie, MD
• Shirley a Roy, MDSC
• Shirley Lee Termolen MD SC
• Davida Shirley
• Kanika Shirole
• Shiv Pharmacy Incorporation
• Shivaadi Corporation
• Vidya Shivakumar, M.D.

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; 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.