Simon K Wu MD

NPI 1407044241 - Family Medicine - 207Q00000X

NPI Details
NPI 1407044241
Gender Male
Enumeration Date 10/05/2007
Last Updated 05/27/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
401 N WALL ST STE 101
KANKAKEE IL, 60901-2934, US
Phone (815) 933-1664
Fax (815) 935-5660
Business Location
401 N WALL ST STE 101
KANKAKEE IL, 60901-2934, US
Phone (815) 933-1664
Fax (815) 935-5660
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036089802
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According to our database, Simon K Wu MD NPI is 1407044241, taxonomy code is 207Q00000X and license number is 036089802, license state is located at Illinois. Simon K Wu MD physically located at 401 N Wall St Ste 101, Kankakee IL, 60901-2934. NPI Number Simon K Wu MD has the Individual type.

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1407044241 NPI number is provided on an as is basis without warranty of any kind. 1407044241 is maintained by the National Plan & Provider Enumeration System. The contents of Simon K Wu MD are for informational purposes only.