VINCENT K WOO (NPI# 1407080575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407080575 |
| Entity Type | Individual |
| Full Name | VINCENT K WOO |
| Credential | M.D. |
| Practice Address |
4309 W Medical Center Dr Ste A200 Mchenry IL 60050 |
| Mailing Address |
4309 W Medical Center Dr Ste A200 Mchenry IL 60050-8437 |
| Practice Telephone | 8157598070 |
| Practice Fax Number | 8157594931 |
| Mailing Telephone | 8157598070 |
| Mailing Fax Number | 8157594931 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 036130689 | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036130689 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
036130689 | IL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE | 036130689 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 W. Carson Street, Torrance, CA 90509 | 3102222409 | |
| 10370 Haligus Rd Ste 200, Huntley, IL 601429582 | 8157598070 | 8157594931 |
| 360 Station Dr Fl 3, Crystal Lake, IL 600147978 | 8157598070 | 8157594931 |
| Street Address |
4309 W MEDICAL CENTER DR STE A200 |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922053511 | Tom K Stathopoulos | Internal Medicine | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 | 2006-05-23 |
| 1497136071 | Centegra Health System | General Acute Care Hospital | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050-8437 | 2015-06-09 |
| 1194123679 | Judi Kittle Forner | Clinical Nurse Specialist | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 | 2014-12-15 |
| 1497022586 | Melissa Dawn Leguillon | Nurse Practitioner | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 | 2011-11-17 |
| 1114162948 | Mohammad Ali Kizilbash | Internal Medicine | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 | 2008-12-08 |
| 1699939892 | Priya Sateesha | Internal Medicine | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 | 2008-07-16 |
| 1639331655 | Elizabeth Marie Retzer | Internal Medicine | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 | 2008-07-01 |
| 1861698417 | Rosalyn M Steckel | Nurse Practitioner | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 | 2007-06-21 |
| 1629191275 | Linda M Rood | Nurse Practitioner | 4309 W Medical Center Dr Ste A200, Mchenry, IL 60050 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316192974 | Nitin Kher Md Sc | Internal Medicine | 661 Ridgeview Dr, Mchenry, IL 60050-7012 | 2008-11-24 |
| 1063512325 | Nitin Kher | Internal Medicine | 661 Ridgeview Dr, Mchenry, IL 60050-7012 | 2006-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164984514 | Cil Care of Il II, LLC | Internal Medicine | 1900 E Golf Rd Ste 950, Schaumburg, IL 60173-5034 | 2019-04-04 |
| 1467950733 | Coordinated Health of Il, LLC | Internal Medicine | 1900 E Golf Rd Ste 950c, Schaumburg, IL 60173-5834 | 2018-01-31 |
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1417373010 | Hashim Gazi | Internal Medicine | 3331 West Deyoung, Suite 100, Marion, IL 62959 | 2014-03-07 |
| 1992041644 | Daniel Brent Nelson | Internal Medicine | 3810 Farhills Dr, Champaign, IL 61822-9321 | 2012-12-28 |
| 1801184767 | Surya Teja Chaturvedula | Internal Medicine | 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 | 2011-07-13 |
| 1841583952 | C Dean Katsamakis Do Facc Sc | Internal Medicine | 240 Waukegan Rd, Glenview, IL 60025-5159 | 2011-05-23 |
| 1154550119 | Elliott M Groves | Internal Medicine | 840 S Wood St Ste Smc715, Chicago, IL 60612-4325 | 2009-07-10 |
| 1841484813 | Elsayed Mohamed | Internal Medicine | 804 E Woodfield Rd Ste 300, Schaumburg, IL 60173-4776 | 2007-08-31 |
| 1952513335 | Muhammad Sikander Akbar | Internal Medicine | 6300 N Lincoln Ave, Chicago, IL 60659-1204 | 2007-05-05 |
| Find all providers with the same taxonomy | ||||
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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.