Individual
JONATHAN C WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 UNO CIR, JOLIET, IL 60435-6653
(815) 725-2277
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036107669
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107669
—
IL
01
—
7636412
AETNA
—
01
—
83821
HEALTH ALLIANCE, URBANA
—
01
—
9930030
BCBS OF ILLINOIS
IL
Enumeration date
02/23/2006
Last updated
08/29/2023
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