| Jonathan David Wong, DNP, APRN, FNP-C | |
|
2323 Grand Ave, Waukegan, IL 60085-3312 | |
| (847) 666-3494 | |
| Not Available |
| Full Name | Jonathan David Wong |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 2323 Grand Ave, Waukegan, 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 |
|---|---|---|---|
| 1568200251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 041.497428 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Lake Forest Hospital | Lake forest, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Erie Family Health Center, Inc | 9537050422 | 138 |
| Entity Name | Erie Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan David Wong, DNP, APRN, FNP-C 1379 Osage Orange Rd, Grayslake, IL 60030-3524 Ph: (847) 643-6253 | Jonathan David Wong, DNP, APRN, FNP-C 2323 Grand Ave, Waukegan, IL 60085-3312 Ph: (847) 666-3494 |
Evelyn H Chou, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8800 | |
Wendy Jahayra Miralda, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 | |
Brandon Barrios, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8800 | |
Ms. Amy Ruth Morton-miller, PHD, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8808 | |
Rochelle A Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3210 Grand Ave, Waukegan, IL 60085 Phone: 847-440-7339 | |
Mankaa Vifansi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave Fl 1, Waukegan, IL 60085 Phone: 847-377-8950 Fax: 847-984-5602 | |
Samantha Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 |