Look up the most recent NPI and PECOS records

Nancy Wu

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1950 W Polk St, Chicago, IL 60612-3723

PECOS Enrollment

Based on the most recent information from CMS, provider Nancy Wu is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1124912431
Provider Type
Individual
Full Name
Wu, Nancy
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/3/2025
Last Updated
6/3/2025

Contact Information

Practice Location

1950 W Polk St, Chicago, IL 60612-3723

(312) 864-0200

Unlisted Fax

Mailing Location

3027 S Broad St, Chicago, IL 60608-5503

(773) 747-1547

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085.011076 Illinois

Nancy Wu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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