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Individual

DAVID W WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 334-5566
(815) 759-4008

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036107738
IL
2085R0202X
Diagnostic Radiology Physician
2001002823
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000014047
ESSENCE
MO
01
08221955
ILLINOIS BLUE
IL
01
08221955
BLUE SHIELD
MO
01
140376000
DEPT OF LABOR
01
144352
BCBS
MO
01
1601306
UHC
MO
05
205715006
MO
01
2207727
CIGNA
MO
01
283240
GHP
MO
01
300122906
TRAVELERS
01
34311V3431
HEALTHCARE USA
MO
01
431142188OSU
MERCY
01
462197
HEALTHLINK
MO
Enumeration date
12/08/2005
Last updated
11/09/2023
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