Simon Wu MD Ltd
NPI 1831187715ActiveOrganization· Family Medicine· Kankakee, IL
Family Medicine in Kankakee, Illinois, registered in NPPES in October 2005. The authorized official on file is Jennifer L. Klinckman, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1831187715 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2005 |
| Last updated in NPPES | Dec 11, 2024 |
| Certified by provider | Dec 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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