| Simon Wu MD Ltd | |
|
400 N Wall St Ste 303 Kankakee IL 60901-2964 | |
| (815) 933-1664 | |
| (815) 935-5660 |
| Full Name | Simon Wu MD Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 400 N Wall St Ste 303, Kankakee, Illinois |
| Authorized Official Name and Position | Jennifer L Klinckman (OFFICE MANAGER) |
| Authorized Official Contact | 8159331664 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Simon Wu MD Ltd 400 N Wall St Ste 303 Kankakee IL 60901-2964 Ph: (815) 933-1664 | Simon Wu MD Ltd 400 N Wall St Ste 303 Kankakee IL 60901-2964 Ph: (815) 933-1664 |
| NPI Number | 1831187715 |
|---|---|
| Provider Enumeration Date | 10/13/2005 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Medicare PECOS PAC ID | 9133270069 |
|---|---|
| Medicare Enrollment ID | O20090706000322 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831187715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| Provider Name | Simon K Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407044241 PECOS PAC ID: 0446301378 Enrollment ID: I20090706000278 |
Sound Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 |
Med-peds Associates,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 N Wall St, Ste P520, Kankakee, IL 60901 Phone: 815-933-0194 Fax: 815-933-1444 |
Misbah Uddin Ahmed MD SC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 555 W Court St, Ste 200, Kankakee, IL 60901 Phone: 815-935-2525 Fax: 815-935-1010 |
Peace of Mind Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 995 N Kennedy Dr, Kankakee, IL 60901 Phone: 815-450-7100 Fax: 815-304-4415 |
Khs School-based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 W Jeffery St, Kankakee, IL 60901 Phone: 815-933-0690 Fax: 815-933-6704 |
Kankakee School District 111 School-based Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2250 E Crestwood St, Kankakee, IL 60901 Phone: 815-933-0772 Fax: 815-933-6730 |