JONATHAN WANG MD NPI 1811688732

NPI Information

  • NPI: 1811688732
  • Provider Name: JONATHAN WANG, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5841 S MARYLAND AVE # MC2026
    CHICAGO, IL
    ZIP 60637
  • Phone: (773) 702-6024

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NPI Details

Jonathan Wang, MD is a diagnostic radiology radiology in Chicago, IL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jonathan Wang, MD NPI is 1811688732. 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:

5841 S MARYLAND AVE # MC2026
CHICAGO, IL
ZIP 60637-443
Phone: (773) 702-6024
Fax: (773) 702-1161

The NPI 1811688732 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 5/19/2023 and was last updated on 6/20/2024.

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
12085R0202XRadiologyDiagnostic Radiology125.081829ILLINOISYes
2207R00000XInternal Medicine125.081829ILLINOISNo

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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