Wenli Loo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027056 Issued in IL

Practice address

4724 N Kedzie Ave
Chicago, IL 60625-4421

Phone

(773) 583-4455

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wenli Loo DDS Inc

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1497334395
  NPD Authorized official
• Dental Image

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1841464989
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1922130269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 W WABANSIA AVE",
            "address_2": "#2W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475963",
            "telephone_number": "917-923-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606254421",
            "telephone_number": "773-583-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOO",
        "first_name": "WENLI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Brent Longway, CPNP-PC
• Isabel Marie Longwell, LCSW
• Daniel Longyne, P.T.
• Michael Lonigro
• Jerry Tsu-Yuen Loo, M.D.
• Terrence Patrick Looby, D.D.S.
• Anna Looker, LCPC
• Loom Psychotherapy, PLLC
• Rohit Seth Loomba, M.D.
• Amanda E Loomis, CTRS

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.