Hanju Wang (NPI# 1912013012, PAC ID# 0143301168) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1912013012 |
| PAC ID by PECOS | 0143301168 |
| Professional Enrollment ID | I20141113000886 |
| Full Name | Hanju Wang |
| Organization Legal Name | COUNTY OF LAKE |
| Address |
18698 W Peterson Rd Libertyville IL 60048-1052 |
| Phone Number | 8473778800 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7214838861 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140084 | VISTA MEDICAL CENTER EAST |
| 140130 | NORTHWESTERN LAKE FOREST HOSPITAL |
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 18698 W Peterson Rd, Libertyville, IL 60048-1052 | 8473778800 | COUNTY OF LAKE |
| 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 8473778800 | COUNTY OF LAKE |
| 3004 Grand Ave, Waukegan, IL 60085-2321 | 8473778120 | COUNTY OF LAKE |
| 3010 Grand Ave, Waukegan, IL 60085-2321 | 8473778800 | COUNTY OF LAKE |
| 3012 Grand Ave, Waukegan, IL 60085-2321 | 8473378180 | COUNTY OF LAKE |
| Organization Legal Name | COUNTY OF LAKE |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianne C Brown | Nurse Practitioner | County of Lake | 1819 27th St, Zion, IL 60099-2541 |
| Christina Nyree Harmon | Clinical Social Worker | County of Lake | 1911 27th St, Zion, IL 60099-2542 |
| Nagham Al-bana | Family Medicine | County of Lake | 1840 Greenbay Rd, Highland Park, IL 60035-3110 |
| Michael Fletcher | Psychologist, Clinical | County of Lake | 2400 Belvidere Rd, Waukegan, IL 60085-6165 |
| Michael H Street | Clinical Social Worker | County of Lake | 6302 13th Ave, Lucerne, CA 95458 |
| Kokeela R Rathi | Internal Medicine | County of Lake | 3004 Grand Ave, Waukegan, IL 60085-2321 |
| Wendy A Powell | Clinical Social Worker | County of Lake | 3010 Grand Ave, Waukegan, IL 60085-2321 |
| Joanna E Caban | Psychiatry | County of Lake | 3012 Grand Ave, Waukegan, IL 60085-2321 |
| Elizabeth Nodine | Family Medicine | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Shehwar Khan | Family Medicine | County of Lake | 2215 14th St, North Chicago, IL 60064-1618 |
| Street Address |
18698 W PETERSON RD |
| City | LIBERTYVILLE |
| State | IL |
| Zip | 60048-1052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Nodine | Family Medicine | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Robin A Mathew | Nurse Practitioner | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Joshua B Nathan | Psychiatry | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Michele A Birkey | Clinical Social Worker | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Anatoliy Pyslar | Psychiatry | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharathi Swaminathan | Physical Medicine and Rehabilitation | 1419 Peterson Rd, Libertyville, IL 60048-1001 | |
| Svetlana F Pikus | Optometry | 1449 Peterson Rd, Libertyville, IL 60048-1001 | |
| Kerri A Kulovitz | Hand Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 1419 Peterson Rd, Libertyville, IL 60048-1001 |
| Dan M Young | Chiropractic | 283 Peterson Rd, Libertyville, IL 60048-1005 | |
| Danny Mclane | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Thomas L Conzelman | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Sara J Meline | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Wayne Andrew Prepura | Psychologist, Clinical | 501 Peterson Rd, Suite 101, Libertyville, IL 60048-1082 | |
| Martha Arroyo | Dermatology | Lakeside Dermatology | 1240 N Milwaukee Ave, Libertyville, IL 60048-1307 |
| Allyssa Jean Clapsaddle | Physician Assistant | Lakeside Dermatology | 1240 N Milwaukee Ave, Libertyville, IL 60048-1307 |
| Find all physicians in zip 60048 | |||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LIBERTYVILLE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.