| Jonathan Wang, MD | |
|
2900 Foxfield Rd Ste 102, St Charles, IL 60174-5799 | |
| (877) 377-1188 | |
| (630) 377-7360 |
| Full Name | Jonathan Wang |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 2900 Foxfield Rd Ste 102, St Charles, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376864884 | NPI | - | NPPES |
| A110419 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 036.175919 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alta Bates Summit Medical Center | Oakland, CA | Hospital |
| Eden Medical Center | Castro valley, CA | Hospital |
| Alta Bates Summit Medical Center - Alta Bates Camp | Berkeley, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sutter Bay Medical Foundation | 4284538778 | 3318 |
| Entity Name | Sutter Bay Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Wang, MD 2900 Foxfield Rd Ste 102, St Charles, IL 60174-5799 Ph: (877) 377-1188 | Jonathan Wang, MD 2900 Foxfield Rd Ste 102, St Charles, IL 60174-5799 Ph: (877) 377-1188 |
Dr. Hythem P Shadid, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2900 Foxfield Rd, Suite 102, St Charles, IL 60174 Phone: 630-377-1188 Fax: 630-377-7360 | |
Dr. Jeffrey W Grosskopf, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3805 E. Main Street, Suite G, St Charles, IL 60174 Phone: 630-402-2128 Fax: 630-397-7814 |