DRS WANG M.D.S.C (NPI# 1780858027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780858027 |
| Entity Type | Organization |
| Organization Name | DRS WANG M.D.S.C |
| Practice Address |
4901 W 79th St Burbank IL 60459-1554 |
| Practice Telephone | 7084251320 |
| Practice Fax Number | 7084251312 |
| Mailing Telephone | 7084251320 |
| Mailing Fax Number | 7084251312 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. CHANG-YANG WANG (PRESIDENT) |
| Authorized Official Telephone | 7084251320 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | IL | Allopathic & Osteopathic Physicians | |
| Y | 207Y00000X | Otolaryngology | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4901 W 79TH ST |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861487423 | Andrea D. Jones | Obstetrics & Gynecology | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2005-09-20 |
| 1538540877 | Advocate Health & Hospital Co | Hospice Care, Community Based | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2015-06-12 |
| 1952724312 | Cristine S. Williams | Dietitian, Registered | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2014-01-21 |
| 1073950622 | Lisa Garland | Internal Medicine | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2013-05-22 |
| 1275827701 | Dave Bolger | Family Medicine | 4901 W 79th St, 2nd Floor, Burbank, IL 60459-1554 | 2011-06-01 |
| 1962630178 | Naveen Abraham | Family Medicine | 4901 W 79th St, Burbank, IL 60459-1554 | 2009-06-25 |
| 1750536082 | Diane Marie Brooks | Physician Assistant | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-12-01 |
| 1588817605 | Seyed Mahmoud Nabavi | Physician Assistant | 4901 W 79th St, Burbank, IL 60459-1554 | 2008-11-03 |
| 1376705772 | Joyce Chen | Family Medicine | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2008-06-26 |
| 1912105057 | Stephen Issac Johnson | Family Medicine | 4901 W 79th St, Suite 10, Burbank, IL 60459-1554 | 2007-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
| 1700049731 | Jill Mazza | Otolaryngology | 191 S. Buena Vista St, Suite 320, Burbank, CA 91505 | 2008-07-09 |
| 1700898269 | Mercy Medical Group of Specialists | Otolaryngology | 421 E Angeleno Ave Ste 102, Burbank, CA 91501-2286 | 2006-08-13 |
| 1043395973 | Rahim Shapoory M.d. Inc. | Otolaryngology | 421 E Angeleno Ave, Suite 102, Burbank, CA 91501-2286 | 2006-10-26 |
| 1831161959 | Chang-yang Wang | Otolaryngology | 4901 W 79th St, 6, Burbank, IL 60459-1554 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841838109 | Ryan C. Vaughn, Md Pllc | Otolaryngology | 1900 E Golf Rd Ste L125, Schaumburg, IL 60173-5831 | 2019-12-18 |
| 1265074934 | Toriumi Facial Plastics Pllc | Otolaryngology | 60 E Delaware Pl Ste 1425, Chicago, IL 60611-1998 | 2019-10-14 |
| 1184281735 | Advanced Ear Nose & Throat Specialists, Pllc | Otolaryngology | 925 N Milwaukee Ave Unit 200, Vernon Hills, IL 60061-1637 | 2019-05-20 |
| 1780144402 | Veronica Maria Drozdowski | Otolaryngology | 2160 S 1st Ave Rm 1870, Maywood, IL 60153-3328 | 2019-03-20 |
| 1205395019 | Brian Yuhan | Otolaryngology | 2160 S 1st Ave Bldg 105, Maywood, IL 60153-3328 | 2019-03-19 |
| 1285100529 | Lauren E Lesniewski | Otolaryngology | 680 N Lake Shore Dr Ste 1210, Chicago, IL 60611-4490 | 2018-10-14 |
| 1982100525 | Muyinat Yewande Osoba | Otolaryngology | 675 N. Saint Clair St, Galter Pavilion, 15th Floor, Room 200, Chicago, IL 60611-5975 | 2018-04-03 |
| 1851811343 | Peter S Dumich | Otolaryngology | 2609 S Nottingham Ct, Champaign, IL 61821-6182 | 2017-06-26 |
| 1104354414 | Sara M. Wing | Otolaryngology | 301 N 8th St Ste 5b, Springfield, IL 62701-1041 | 2017-05-31 |
| 1750734778 | Darius Bliznikas Md Sc | Otolaryngology | 7110 W 127th St Ste 210, Palos Heights, IL 60463-1580 | 2016-07-14 |
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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.