DR. TIMOTHY WANG (NPI# 1063428290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063428290 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY WANG |
| Credential | MD |
| Practice Address |
2000 Larkin Ave #100 Elgin IL 60123-5879 |
| Practice Telephone | 8478882320 |
| Practice Fax Number | 8478882591 |
| Mailing Telephone | 8478882320 |
| Mailing Fax Number | 8478882591 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036047139 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036047139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609308261 | Timothy Y. Wang | Student in an Organized Health Care Education/Training Program | 134 Churment Ct, Durham, NC 27703-6434 | 2017-03-31 |
| 1508954330 | Timothy S Wang | Dermatology | 875 Johnson Fy Rd Ne, Suite 300, Atlanta, GA 30342-1418 | 2006-10-10 |
| 1962449512 | Timothy C. Wang | Chiropractor | 36 Grand Street, Shaw Chiropractic, Hartford, CT 06106 | 2006-06-01 |
| 1952763773 | Timothy Wang | Internal Medicine | 155 N Fresno St, Fresno, CA 93701-2302 | 2016-03-22 |
| 1104212398 | Timothy Wang | Pediatrics | 3333 Burnet Ave, Cincinnati, OH 45229 | 2015-04-14 |
| 1154499218 | Timothy Cragin Wang | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2006-11-30 |
| 1902820087 | Timothy T. Wang | Ophthalmology | 2350 Mckee Rd, Suite 2, San Jose, CA 95116-1617 | 2006-07-26 |
| Street Address |
2000 LARKIN AVE #100 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-5879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174570048 | Alan M. Polse D.d.s. & Associates, Ltd. | Dentist | 2000 Larkin Ave, Suite #102, Elgin, IL 60123-4404 | 2006-05-27 |
| 1003200981 | Jane Hansen | Social Worker | 2000 Larkin Ave, Suite 202, Elgin, IL 60123-4404 | 2015-03-27 |
| 1487088662 | Lori Streator | Counselor | 2000 Larkin Ave, Suite 202, Elgin, IL 60123-4404 | 2013-08-24 |
| 1750517504 | Steven J Muraski | Dentist | 2000 Larkin Ave, Suite 100, Elgin, IL 60123-4404 | 2009-06-08 |
| 1689837585 | Frank A Maggio | Dentist | 2000 Larkin Ave, Suite 306, Elgin, IL 60123-5880 | 2008-07-10 |
| 1265626709 | William T. Sheehy | Dentist | 2000 Larkin Ave, Suite 204, Elgin, IL 60123-4404 | 2007-08-28 |
| 1447270236 | Raymond J. Matejcak, D.d.s., Ltd. | Dentist | 2000 Larkin Ave, Suite #203, Elgin, IL 60123-4404 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043584238 | Mahmood Akbari Fard | Internal Medicine | 1710 N Randall Rd Suite 340, Advanced Cardiology, Elgin, IL 60123 | 2012-03-06 |
| 1710187836 | Vineet Kartik Dandekar | Internal Medicine | 1435 N Randall Rd Ste 202, Elgin, IL 60123-2303 | 2007-07-18 |
| 1043364938 | Abbas Y. Rampurwala | Internal Medicine | 2410 Alft Ln, Elgin, IL 60124-7843 | 2007-01-22 |
| 1730115791 | Syed Hasan | Internal Medicine | 87 N Airlite, Suite100, Elgin, IL 60123 | 2006-06-23 |
| 1710934674 | Cameron Haery | Internal Medicine | 1975 Lin Lor Ln Ste 155, Elgin, IL 60123-4902 | 2006-05-27 |
| 1841250958 | David S Bromet | Internal Medicine | 1975 Lin Lor Lane, Suite 175, Elgin, IL 60123-4920 | 2006-03-23 |
| 1477984060 | Elgin Cardiovascular Ltd | Internal Medicine | 1435 N Randall Rd, 206, Elgin, IL 60123-2306 | 2013-12-06 |
| 1811327844 | Metro Heart & Vascular Institute Ltd | Internal Medicine | 2410 Alft Ln, Ste. 100, Elgin, IL 60124-7843 | 2013-11-12 |
| 1619293131 | Karthik Kumar Challa | Internal Medicine | 1435 N Randall Rd, Ste 201, Elgin, IL 60123 | 2010-04-08 |
| 1083718423 | Azmey Awad Matarieh | Internal Medicine | 1435 N Randall Rd, Ste 201, Elgin, IL 60123 | 2006-09-07 |
| Find all providers in ELGIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.