Provider Demographics
NPI:1245424993
Name:DENNIS WEN
Entity type:Organization
Organization Name:DENNIS WEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:YUNG KUANG
Authorized Official - Last Name:WEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-710-8860
Mailing Address - Street 1:5 MARMON LN
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-4025
Mailing Address - Country:US
Mailing Address - Phone:847-710-8860
Mailing Address - Fax:682-316-8126
Practice Address - Street 1:87 N AIRLITE ST STE 220
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4995
Practice Address - Country:US
Practice Address - Phone:847-695-6611
Practice Address - Fax:847-695-8069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL21602371OtherBLUE CROSS BLUE SHIELD