DR. KATY K WONG (NPI# 1942286760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942286760 |
| Entity Type | Individual |
| Full Name | DR. KATY K WONG |
| Credential | M.D. |
| Practice Address |
1401 Eastland Dr Bloomington IL 61701-3514 |
| Practice Telephone | 3096638311 |
| Practice Fax Number | 3096631810 |
| Mailing Telephone | 3096638311 |
| Mailing Fax Number | 3096631810 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2012-04-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
036110197 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 5715384 | 01 |
| IL | 036110197 | 05 |
| Street Address |
1401 EASTLAND DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701-3514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619953486 | Sven Klauss | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2005-12-22 |
| 1225476377 | Rachel Emily Immen | Family Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3552 | 2013-06-11 |
| 1497025548 | Medical Hills Internists,llc | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2012-01-06 |
| 1861778870 | Sabrina N Mearida | Physical Therapist | 1401 Eastland Dr, Suite C, Bloomington, IL 61701-3514 | 2011-10-24 |
| 1790070837 | Andre Francois | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3552 | 2011-06-16 |
| 1396946125 | Lilla Gyires Berck | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2007-05-30 |
| 1376641217 | Jeffrey C Hoschek | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2006-09-21 |
| 1770592487 | Danielle F Kim | Internal Medicine | 1401 Eastland Dr, Bloomington, IL 61701-3514 | 2006-08-05 |
| 1043248867 | Benjamin J Leak | Urology | 1401 Eastland Dr, Suite B, Bloomington, IL 61701-3514 | 2006-06-29 |
| 1770511594 | Thomas B Kulb | Urology | 1401 Eastland Dr, Suite B, Bloomington, IL 61701-3514 | 2006-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1134202880 | William Parker Rusche | Internal Medicine | 3316 E Mulberry Dr, Bloomington, IN 47401-2426 | 2006-10-23 |
| 1326043282 | Narcisa Codruta German | Internal Medicine | 2605 E Creeks Edge Dr, Bloomington, IN 47401-8368 | 2005-06-16 |
| 1447376389 | Rheumatology Center of Southern Indiana | Internal Medicine | 637 S Walker St, Bloomington, IN 47403-2154 | 2007-03-22 |
| 1962548529 | Thomas Jeffrey Worster | Internal Medicine | 1000 W 1st St, Bloomington, IN 47403-2208 | 2007-01-30 |
| 1710917422 | Genene Radden | Internal Medicine | 1701 E College Ave, Bloomington, IL 61704-2101 | 2006-07-05 |
| 1710974266 | Ima, Inc. | Internal Medicine | 550 S Landmark Ave, Bloomington, IN 47403-3239 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558988345 | Bashir Holdings | Internal Medicine | 210 N Hammes Ave Ste 110, Joliet, IL 60435-6688 | 2020-06-29 |
| 1336611409 | Keith E Gilmer | Internal Medicine | 850 N Dewitt Pl Apt 10g, Chicago, IL 60611-7312 | 2018-12-29 |
| 1245643618 | Jean Lin | Internal Medicine | 240 E Huron St # M300, Chicago, IL 60611-2909 | 2014-06-03 |
| 1922445097 | Josna Haritha | Internal Medicine | 5841 S. Maryland Avenue, #0930, Chicago, IL 60637 | 2013-05-30 |
| 1255776860 | Alexander Geevarghese | Internal Medicine | 27650 Ferry Rd Ste 210, Warrenville, IL 60555-3846 | 2013-05-08 |
| 1285078766 | Sheela Metgud | Internal Medicine | 9000 Waukegan Rd Ste 200, Morton Grove, IL 60053-2127 | 2013-04-26 |
| 1043551500 | Nisha Dsilva | Internal Medicine | 10 Martin Ave Ste 140, Naperville, IL 60540 | 2013-03-08 |
| 1255694675 | Heena Aditya Birbal Jain | Internal Medicine | 1701 Curtis Rd., Rheumatology, Champaign, IL 61822-9678 | 2012-06-20 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1699921353 | Anna A. Stanislaus | Internal Medicine | 801 N Cass Ave Ste 150, Westmont, IL 60559-1121 | 2008-08-13 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.