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SIMON WU MD LTD
NPI 1831187715
Family Medicine in Kankakee, IL

Active since October 13, 2005
400 N WALL ST STE 303, KANKAKEE, IL 60901(815) 933-1664(815) 935-5660 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2024, Jul 23, 2024, Sep 12, 2018 and 1 more (4 updates tracked since 2018).

About Simon Wu Md Ltd NPPES

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

SIMON WU MD LTD (NPI 1831187715) is a healthcare organization registered as a family medicine in Kankakee, Illinois and active in the NPI registry since October 2005. The organization lists Jennifer L Klinckman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1831187715
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSIMON WU MD LTD
Location Address400 N WALL ST STE 303Kankakee, IL 60901-2964
Mailing Address400 N Wall St Ste 303Kankakee, IL 60901-2964 · (815) 933-1664 · Fax (815) 935-5660
Phone(815) 933-1664
Fax(815) 935-5660
Organization SubpartNo
Authorized OfficialJennifer L KlinckmanOffice Manager · (815) 933-1664
Enumeration DateOctober 13, 2005
Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1831187715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
400 N WALL ST STE 303, Kankakee, IL 60901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. PHILIP G HAYS M.D
Internal Medicine (Cardiovascular Disease)
400 N WALL ST STE 303
KANKAKEE, IL 60901
Kankakee County (815) 935-8040
SIMON K WU MD
Family Medicine
400 N WALL ST STE 303
KANKAKEE, IL 60901
Kankakee County (815) 933-1664
PHILIP G HAYS MD SC
Internal Medicine (Cardiovascular Disease)
400 N WALL ST STE 303
KANKAKEE, IL 60901
Kankakee County (815) 935-8040

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 Simon Wu MD Ltd's NPI number?

The NPI number for Simon Wu MD Ltd is 1831187715. It was assigned to this organization in the NPPES registry on October 13, 2005.

Where is Simon Wu MD Ltd located?

Simon Wu MD Ltd is located at 400 N Wall St Ste 303, Kankakee, IL 60901. The listed phone number is (815) 933-1664.

What is Simon Wu MD Ltd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Simon Wu MD Ltd was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.