FENG WEN (NPI# 1154717916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154717916 |
| Entity Type | Individual |
| Full Name | FENG WEN |
| Practice Address |
6447 Cermak Rd Berwyn IL 60402-2311 |
| Mailing Address |
966 W 21st St Chicago IL 60608-4511 |
| Practice Telephone | 7732541400 |
| Practice Fax Number | 7086560349 |
| Mailing Telephone | 7732541400 |
| Mailing Fax Number | 3128296842 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2016-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
085005886 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PENDING | 05 |
| Street Address |
6447 CERMAK RD |
| City | BERWYN |
| State | IL |
| Zip Code | 60402-2311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124053269 | Jennifer Vargas | Family Medicine | 6447 Cermak Rd, Berwyn, IL 60402 | 2006-07-11 |
| 1740808633 | Brigette Chelchowski | Physician Assistant | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2020-07-08 |
| 1275155764 | Ariana Sandoval | Nurse Practitioner | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2020-05-07 |
| 1497388672 | Marissa Munoz | Counselor | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2020-02-17 |
| 1376037713 | Faylene Salas | Nurse Practitioner | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2018-06-19 |
| 1194244236 | Karina Cisneros | Counselor | 6447 Cermak Rd, Berwyn, IL 60402 | 2017-09-10 |
| 1215475538 | Monica Guzman | Counselor | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2017-02-07 |
| 1609264001 | Alivio Medical Center, Inc. | Internal Medicine | 6447 Cermak Rd, Suite 100, Berwyn, IL 60402-2311 | 2015-01-07 |
| 1972928166 | Bienestar Pharmacy II Inc | Pharmacy | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2014-02-25 |
| 1255646857 | Alivio Medical Center Inc | Clinic/Center | 6447 Cermak Rd, Berwyn, IL 60402-2311 | 2010-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619586518 | Lisa K Anderson-shaw | Clinical Ethicist | Macneal Trinity Medical Cetner, 3249 Oak Park Avenue, Berwyn, IL 60402 | 2020-07-27 |
| 1922622380 | Ayesha Ikram | Internal Medicine | Macneal Hospital 3249 S. Oak Park Ave, Brewyn, IL 60402 | 2020-06-02 |
| 1598329146 | Eleanor Teoh | Student in an Organized Health Care Education/Training Program | Family Medicine, Macneal Family Medicine Center, 3231 Eucild Ave, 5th Floor, Berwyn, IL 60402 | 2019-04-30 |
| 1376013920 | Virginia Mireles | Behavior Technician | 2317 S. Home, Berwyn, IL 60402 | 2018-11-27 |
| 1245709047 | Saraswati Koirala | Dentist | 1227 S Harlem Ave Apt414, Berwyn, IL 60402 | 2018-11-21 |
| 1295204220 | Dental Town Ltd | Dentist | 7106 W Cermak Rd, Berwyn, IL 60402 | 2018-11-20 |
| 1396231684 | Toya M Gildart | Counselor | Pillars, 6415 Stanley Avenue, Berwyn, IL 60402 | 2018-07-10 |
| 1437655685 | Ana Luisa Desantiago | Social Worker | 3245 Grove Ave Ste 201, Berwyn, IL 60402 | 2018-04-04 |
| 1821520198 | Chetan Velagapudi | Student in an Organized Health Care Education/Training Program | 3231 S Euclid Avenue, Suite 203, Berwyn, IL 60402 | 2017-03-28 |
| 1174976567 | Sydney Talavera | Counselor | 6415 Stanley Ave., Berwyn, IL 60402 | 2016-07-20 |
| Find all providers in zip 60402 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851801187 | Yui Okamura | Physician Assistant | 6447 Cermak Rd Ste 100, Berwyn, IL 60402-2311 | 2017-09-30 |
| 1477040467 | Rachel Elizabeth Vandyken | Physician Assistant | 7000 Cermak Rd, Berwyn, IL 60402-2112 | 2018-04-16 |
| 1730573809 | Alecia Boeder | Physician Assistant | 3231 S. Euclid Ave, Suite 201, Berwyn, IL 60402-3472 | 2015-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707298 | Eliza Ballen | Physician Assistant | 335 Sylvan Rd, Lake Bluff, IL 60044-2562 | 2020-07-21 |
| 1477177947 | Rybecca Janovyak | Physician Assistant | 14432 High Rd, Lockport, IL 60441-9402 | 2020-06-01 |
| 1518591759 | Julie Jenkot | Physician Assistant | 333 N Michigan Ave Fl 14, Chicago, IL 60601-3901 | 2020-02-26 |
| 1801429873 | Hinjal D Jha | Physician Assistant | 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010-2542 | 2020-02-19 |
| 1770120222 | Alvina Shaikh | Physician Assistant | 4009 Warren Ave, Bellwood, IL 60104-2066 | 2019-12-03 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1538705272 | Bethany Mae Frisby | Physician Assistant | 8630 W Golf Rd, Niles, IL 60714-5600 | 2019-11-18 |
| 1134761984 | Ella-marie Rakowski | Physician Assistant | 25 Acorn Dr, Hawthorn Woods, IL 60047-7407 | 2019-10-14 |
| 1467001859 | Timothy Omotayo Adesanya | Physician Assistant | Graham Correctional Center, 12078 Illinois Rte 185, Hilliboro, IL 62049 | 2019-09-09 |
| 1518514066 | Victoria Moore | Physician Assistant | 979 W Main St, West Dundee, IL 60118-2088 | 2019-08-20 |
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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.