| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JANELLE S WONG | 1902423759 | 2020-06-28 |
Janelle Sabado Wong [F] graduated in 2020 and primarily specializes in Nurse Practitioner.
Janelle S Wong is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1902423759. Registration indicates Janelle S Wong is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| PECOS ID | 5890113880 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Janelle S Wong APRN, FNP-C |
| Practice Office Address | 1189 N GARY AVE CAROL STREAM, IL US |
| Practice Office Telephone | 6305175674 |
| Practice Office Fax | 6303003702 |
| Mailing Address | 1189 N GARY AVE CAROL STREAM, IL 601889423 US |
| Business Telephone | 6305175674 |
| Business Fax | 6303003702 |
| Code | Practice | License No State |
|---|---|---|
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 209021425
IL |