Look up the most recent NPI and PECOS records

Kevin Julius Wu

Family Medicine

Allopathic & Osteopathic Physicians

1 Erie Ct Ste 6160, Oak Park, IL 60302-2510

PECOS Enrollment

This provider is enrolled in PECOS as KEVIN WU.

Based on the most recent information from CMS, provider Kevin Julius Wu is legally eligible to order and refer claims for DME and PMD services only.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1699340687
Provider Type
Individual
Full Name
Wu, Kevin Julius
Title
Dr.
Credential
DO, MBA

Gender
Male
Sole Proprietor
Yes
Enumeration Date
5/23/2021
Last Updated
3/15/2023

Contact Information

Practice Location

1 Erie Ct Ste 6160, Oak Park, IL 60302-2510

(331) 330-5023

(740) 756-6022

Mailing Location

1 Erie Ct Ste 6160, Oak Park, IL 60302-2510

(331) 330-5023

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 125-080991 Illinois

Kevin Julius Wu

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Bello Kottenstette, Jennifer R

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