Provider Demographics
NPI:1942218516
Name:WEY WU, CHUNG JUE (MD)
Entity Type:Individual
Prefix:MRS
First Name:CHUNG
Middle Name:JUE
Last Name:WEY WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHUNG
Other - Middle Name:JUE
Other - Last Name:WEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:6321 FAIRVIEW AVE
Mailing Address - Street 2:STE B
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-2886
Mailing Address - Country:US
Mailing Address - Phone:630-322-8800
Mailing Address - Fax:630-322-8236
Practice Address - Street 1:6321 FAIRVIEW AVE
Practice Address - Street 2:STE B
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-2886
Practice Address - Country:US
Practice Address - Phone:630-322-8800
Practice Address - Fax:630-322-8236
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2440472029Medicaid
IL780800Medicare ID - Type Unspecified
ILD16581Medicare UPIN