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Kan Y Wu, MD
Specialist in Charleston, Illinois
NPI 1972590362

Kan Y Wu is a Specialist based in Charleston, IL. Kan Y Wu practices in Charleston, IL and has the professional credentials of MD. The NPI Number for Kan Y Wu is 1972590362 and holds a License No. 036113712 (Illinois).

The current practice location address for Kan Y Wu is 907 West Lincoln Ave, Charleston, IL and can be reached out via phone at 217-345-2500 and via fax at 217-345-8366.

Location: 907 West Lincoln Ave, Charleston, IL, 61920-2413
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972590362
Provider Name
Kan Y Wu
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
907 West Lincoln Ave, Charleston, IL, 61920-2413
Phone Number
217-345-2500
Fax Number
217-345-8366
Provider Enumeration Date
09/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036113712 05 IL
01098 01 NE BCBS OF NE
institution
Provider Business Practice Location Address Details
Address
907 West Lincoln Ave
City
Charleston
State
Illinois
Zip
61920-2413
Phone Number
217-345-2500
Fax Number
217-345-8366
person
Provider Business Mailing Address Details
Address
907 West Lincoln Ave
City
Charleston
State
Illinois
Zip
61920-2413
Phone Number
217-345-2500
Fax Number
217-345-8366
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
18855 (Nebraska)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
036113712 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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