| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANDY WU | 1528647021 | 2021-04-03 |
Andy Wu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1528647021. Registration indicates Andy Wu is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Student Health, ) (All Other Specialties & Provider Types, ) (Clinic/Center Student Health, Ambulatory Health Care Facilities) (Clinic/Center, )
| Entity Type | Individual |
| Provider Name | Andy Wu |
| Practice Office Address | 1620 W HARRISON ST CHICAGO, IL US |
| Practice Office Telephone | 3129425000 |
| Mailing Address | 1620 W HARRISON ST CHICAGO, IL 606123801 US |
| Code | Practice | License No State |
|---|---|---|
| 261QS1000X PRIMARY | Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Student Health All Other Specialties & Provider Types Clinic/Center Student Health Ambulatory Health Care Facilities Clinic/Center |