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RICHARD WANG MD
NPI 1043013105
Student in an Organized Health Care Education/Training Program in Evanston, IL

Active since March 31, 2025PECOS Enrolled
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201(847) 570-2700 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Wang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD WANG MD (NPI 1043013105) is an individual student in an organized health care education/training program in Evanston, Illinois and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043013105
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRICHARD WANGCredential: MD
Location Address2650 RIDGE AVE STE 1304Evanston, IL 60201-1700
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(847) 570-2700
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1043013105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2650 RIDGE AVE STE 1304, Evanston, IL 60201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Richard Wang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EILEEN VERA
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 666-3494
MARIANA MCCUNE MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
ISRA HASNAIN
Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 666-3494
ANDIE KWON MD
Dermatology
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
DR. NICOLE RENEE PALMER MD, MPH
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-1010
ERIC COOPER
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
DR. OMKAR NITIN MORE MD
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700
SPENCER KIERS DO
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Cook County (847) 570-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Wang's NPI number?

The NPI number for Richard Wang is 1043013105. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Richard Wang located?

Richard Wang practices at 2650 Ridge Ave Ste 1304, Evanston, IL 60201. The listed phone number is (847) 570-2700.

What is Richard Wang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Richard Wang enrolled in Medicare?

Yes. Richard Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Richard Wang was last updated on March 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.