# BRIAN M WU MD SC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Crystal Lake Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760546931
- **Authorized official:** MR. BRIAN M WU MD (PRESIDENT)
- **Authorized official phone:** (815) 459-4333

## Contact information

- **Practice address:** 6317 NORTHWEST HWY, CRYSTAL LAKE, IL 60014
- **Practice address phone:** (815) 459-4333
- **Practice address fax:** (815) 477-7279
- **Mailing address:** 6317 NORTHWEST HWY, CRYSTAL LAKE, IL 60014
- **Mailing address phone:** (215) 459-4333
- **Mailing address fax:** (815) 477-7279

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | IL | Yes |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/22/2020