Active NPI
Hanju Wang, APN-CNP
- Nurse Practitioner
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 277001111
- Practice address
- 1220 E 4TH St
Long Beach, CA 90802-1831 - Phone
- (888) 530-4415
- Fax
- (855) 712-7837
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 277001111 | IL | Primary |
Addresses
Primary practice location
1220 E 4TH St
Long Beach, CA 90802-1831
Mailing address
1220 E 4TH St
Long Beach, CA 90802-1831
Phone (888) 530-4415
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277001111 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Lake | Current | Accepting new patients | |
| County of Lake | Current | Accepting new patients | |
| County of Lake | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients |
Locations
9532 Eagle Way
Chicago, IL 60678
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
731 S State Route 21
Ste 130
Gurnee, IL 60031
Phone (847) 566-3337
3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296
2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400
Interoperability endpoints
- hanju.wang.1@17371.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1013920750
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Federally Qualified Health Center (FQHC)
- Zion, IL
- NPI 1023047164
-
- Federally Qualified Health Center (FQHC)
- Round Lake, IL
- NPI 1639588254
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787270400000",
"number": "1912013012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 E 4TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021831",
"telephone_number": "888-530-4415",
"fax_number": "855-712-7837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 E 4TH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908021831",
"telephone_number": "888-530-4415",
"fax_number": "855-712-7837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "HANJU",
"credential": "APN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2026-08-21",
"certification_date": "2026-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "277001111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.