Individual
DR. FON YEI SUN WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2306 E 75TH ST, CHICAGO, IL 60649-3306
(773) 731-0014
(773) 731-2034
Mailing address
275 TIMBER TRAIL DR, OAK BROOK, IL 60523-1455
(630) 530-1024
(630) 530-9425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036049988
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010043156
RAIL ROAD PROVIDER NO.
IL
01
—
016-06684
BLUE CROSS & BLUE SHIELD
IL
Enumeration date
11/15/2006
Last updated
07/08/2007
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