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SHIRLEY S WONG M.D.S.C. NPI 1881728038


NPI Information

NPI: 1881728038
Provider Name: SHIRLEY S WONG M.D.S.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D0694440

Address:
2600 S MICHIGAN AVE STE 408
CHICAGO, IL
ZIP 60616
Phone: (312) 808-9000
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SHIRLEY S WONG M.D.S.C. is an internal medicine in Chicago, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHIRLEY S WONG M.D.S.C. NPI is 1881728038. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2600 S MICHIGAN AVE STE 408
CHICAGO, IL
ZIP 60616-696
Phone: (312) 808-9000
Fax: (312) 808-9680

The provider's authorized official is Shirley Wong .
The authorized official title is Owner And Physician and has the following contact phone number (312) 808-0900.

The CLIA number assigned to this NPI record is 14D0694440 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 11/26/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsILLINOISNo
2207R00000XInternal MedicineILLINOISYes

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: 4/28/2024

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