| David D Wang, MD PHD | |
|
660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045-1696 | |
| (847) 234-0049 | |
| (847) 234-1946 |
| Full Name | David D Wang |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 660 North Westmoreland, Lake Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548238611 | NPI | - | NPPES |
| 0360822771 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | (Illinois) | Primary |
| Entity Name | Gastroenterologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891993606 PECOS PAC ID: 3274422886 Enrollment ID: O20040312000067 |
| Entity Name | Fmgc Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578691846 PECOS PAC ID: 8325142771 Enrollment ID: O20070326000042 |
| Mailing Address | Practice Location Address |
|---|---|
| David D Wang, MD PHD 75 Remittance Drive, Ste 1895, Chicago, IL 60675-1895 Ph: () - | David D Wang, MD PHD 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045-1696 Ph: (847) 234-0049 |
Dr. John Chongwon Lee, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-6217 | |
Michael P Viglione, MD PHD Pathology Medicare: Medicare Enrolled Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Ricardo S Cajulis, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Richard J Clatch, MD PHD Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 North Westmoreland, Lake Forest Hospital, Lake Forest, IL 60045 Phone: 847-234-0049 Fax: 847-234-1946 | |
Cherise Meyerson, Pathology Medicare: Accepting Medicare Assignments Practice Location: 1000 N Westmoreland Rd # Ll0519, Lake Forest, IL 60045 Phone: 847-535-6218 Fax: 847-535-6237 | |
Dr. Manuel Raul Montez, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1261 Oak Knoll Dr, Lake Forest, IL 60045 Phone: 847-337-4752 | |
Dr. Amalia B Digan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 660 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-234-0049 |