Individual
DICKSON WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 677-9600
Mailing address
9600 GROSS POINT RD, SKOKIE, IL 60076-1214
(847) 677-9600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036082128
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615142
BCBS PROVIDER NUMBER
IL
Enumeration date
09/13/2006
Last updated
07/09/2007
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