Janelle S Wong, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209021425 Issued in IL

Practice address

1189 N Gary Ave
Carol Stream, IL 60188-9423

Phone

(630) 517-5674

Fax

(630) 300-3702

NPI assigned

Jun 28, 2020

Last updated

Apr 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1593302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1902423759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1189 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889423",
            "telephone_number": "630-517-5674",
            "fax_number": "630-300-3702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 N GARY AVE",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601889423",
            "telephone_number": "630-517-5674",
            "fax_number": "630-300-3702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "JANELLE",
        "middle_name": "S",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-28",
        "last_updated": "2021-04-07",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Lynn Wilhelm, L.C.P.C.
• William Vogds DC LTD
• William Wright PC
• Windsor Park Manor (Covenant Living at Windsor Park)
• Winfield Neurosurgical Consultants, LTD.
• Phillip Owen Wood, LCPC, DMIN
• Jonathan Woodin, PSY.D
• Tyler Yamauchi
• Thomas D Young, LCPC
• Patricia J Zurek, RPH

• Family Nurse Practitioner in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.