ALTON WONG (NPI# 1982681458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982681458 |
| Entity Type | Individual |
| Full Name | ALTON WONG |
| Credential | MD |
| Practice Address |
5525 S Pulaski Rd Chicago IL 60629-4417 |
| Mailing Address |
62647 Collection Center Dr Chicago IL 60693-0626 |
| Practice Telephone | 7735851955 |
| Practice Fax Number | 7732845268 |
| Mailing Telephone | 8129626407 |
| Mailing Fax Number | 8124719282 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2016-07-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036059957 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036059957 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063755874 | Alton Wong | Anesthesiology | 101 The City Dr S, Orange, CA 92868-3201 | 2013-03-29 |
| Street Address |
5525 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-4417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108545 | Andree C. De Bustros | Internal Medicine | 5525 S Pulaski Rd, Chicago, IL 60629 | 2005-07-15 |
| 1588052369 | Anne Marie Orzechowski | Nurse Practitioner | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2015-01-02 |
| 1316353147 | Mercy Hospital and Medical Center | Durable Medical Equipment & Medical Supplies | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2014-07-01 |
| 1427483924 | Ashley Ferrell | Physical Therapist | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2013-09-04 |
| 1487094942 | Ecola Jackson | Pharmacy Technician | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2013-06-28 |
| 1740620129 | Damaris Melendez | Pharmacy Technician | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2013-06-28 |
| 1356694871 | Mercy Hospital & Medical Center | Pharmacy | 5525 S Pulaski Rd, Chicago, IL 60629-4417 | 2012-10-22 |
| 1134422413 | Kelly Anderson | Pharmacist | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2010-12-08 |
| 1053541318 | Erin M Jamen | Pediatrics | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2009-07-21 |
| 1689830077 | Jennifer Perez | Pediatrics | 5525 S Pulaski Rd, Suite 24oo, Chicago, IL 60629-4417 | 2008-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1003258583 | Luis David Sumoza | Internal Medicine | 1900 West Polk Suite 755, Chicago, IL 60612 | 2013-07-24 |
| 1225337017 | Karan Singh Dixit | Internal Medicine | 675 N Saint Clair St Ste 21-110, Chicago, IL 60611-5975 | 2011-03-20 |
| 1801034830 | Jonas Araujo De Souza | Internal Medicine | 5200 S Ellis Ave, Apt 118n, Chicago, IL 60615-4365 | 2009-01-29 |
| 1326211160 | Cara Ann Rosenbaum | Internal Medicine | 5841 S Maryland Ave # Mc2115, Chicago, IL 60637-1447 | 2008-04-11 |
| 1275713307 | John Baxter Watson Md Sc | Internal Medicine | 2900 N Lake Shore Dr # 458, Chicago, IL 60657-5640 | 2007-11-06 |
| 1043499866 | Solomon Adler | Internal Medicine | 2828 W Coyle Ave, Chicago, IL 60645-2922 | 2007-10-29 |
| 1518168202 | Kelley Kozma | Internal Medicine | 2900 N Lake Shore Dr Ste 7e, Chicago, IL 60657-5640 | 2007-05-30 |
| Find all providers in CHICAGO | ||||
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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.