Active NPI
Lu Wang
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 125059720
- Practice address
- 201 E Huron St. Northwestern Memorial Hospital
7-132A
Chicago, IL 60611 - Phone
- (312) 503-8144
- NPI assigned
- May 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 125059720 | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 11015359A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 57.016540 | OH | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 125059720 | IL |
Addresses
Primary practice location
201 E Huron St. Northwestern Memorial Hospital
7-132A
Chicago, IL 60611
Mailing address
278 N Oaklawn Ave Unit 3
Elmhurst, IL 60126-2523
Phone (630) 333-9006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1969 W Hart Rd
Beloit, WI 53511-2230
Phone (608) 364-5131
Hospital & facility affiliations
- Beloit Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125059720 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
| 11015359A | IN | MD | Student in an Organized Health Care Education/Training Program |
| 57.016540 | OH | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Hart Road Pathology SC | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011
Organizations & group practices 3
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.
-
- Clinical Pathology Physician
- Beloit, WI
- NPI 1740459072
-
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1417718479
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beloit, WI
- NPI 1982780094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1912225970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "278 N OAKLAWN AVE UNIT 3",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262523",
"telephone_number": "630-333-9006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E HURON ST. NORTHWESTERN MEMORIAL HOSPITAL",
"address_2": "7-132A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60611",
"telephone_number": "312-503-8144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANG",
"first_name": "LU",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-13",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "125059720",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11015359A",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "57.016540",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IL",
"license": "125059720",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.