JEFFREY J WONG PA-C NPI 1578893368

NPI Information

  • NPI: 1578893368
  • Provider Name: JEFFREY J WONG, PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 259 E ERIE ST
    13TH FLOOR
    CHICAGO, IL
    ZIP 60611
  • Phone: (312) 695-6800

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NPI Details

Jeffrey J Wong, PA-C is a surgical physician assistant in Chicago, IL with 17 years of experience. Jeffrey J Wong, PA-C NPI is 1578893368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

259 E ERIE ST
13TH FLOOR
CHICAGO, IL
ZIP 60611-987
Phone: (312) 695-6800
Fax: (312) 695-2771

The NPI 1578893368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/30/2009 and was last updated on 4/5/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical085003597ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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