ALLISON LININ WANG – Dermatology Physician, NPI 1063953354

ALLISON LININ WANG is a healthcare provider. based in Peoria, Illinois. specializing in DERMATOLOGY. They hold a License No. 036171040 (IL). The NPI Number for ALLISON LININ WANG is 1063953354

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON LININ WANG
NPI
1063953354
Phone
(309) 674-7546
Address
4909 N Glen Park Place Rd
Enumeration Date
20 March 2017
Last Update Date
9 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
3096747546
Graduation Year
2017 (9 years ago)
PAC ID
8527302686
Group Practice PAC ID
2062432651
Professional Enrollment ID
I20240903000460
Address ID
IL616144676PE4909XRDXX600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:9State licenses:3Digital endpointsOther names

703 DERMATOLOGY in IL

Provider Addresses for ALLISON LININ WANG

  • 4909 N Glen Park Place Rd

    Peoria, IL 616144676

    Phone: (309) 674-7546

    Fax: (309) 691-9286

    Type: Location

  • 1900 W POLK ST RM 519

    CHICAGO, IL 606123723

    Phone:

    Type: Mailing

  • 1035 S STATE ROAD 7 STE 122

    WELLINGTON, FL 334146136

    Phone: (650) 660-9708

    Type: Mailing

  • 5323 Harry Hines Blvd

    Dallas, TX 753907201

    Phone: (214) 590-8000

    Type: Location

  • 1950 W Polk St

    Chicago, IL 606123723

    Phone: (312) 864-4700

    Type: Location

  • 10620 Corporate Dr

    Fort Wayne, IN 468451711

    Phone: (260) 266-8392

    Type: Location

  • Cook County Central Campus Health Center, 1950, West Polk Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    CHICAGO, IL 606123723

    Phone: (312) 864-4700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $272.

Total Amount is formed as General ($272) + Research ($0) + Ownership ($0) = $272.

Last reported payment date: 2023-06-06 • Largest payer in this snapshot: Janssen Biotech, Inc. ($100).

Total Amount

$272

General + Research + Ownership

Payments

5

Total payment records

General Amount

$272

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210409000750IDermatologyFLTBD
I20210811001815IDermatologyINTBD
I20231019002565IDermatologyVTTBD
I20240903000460IDermatologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths28056$0
99213Established patient office or other outpatient visit, 20-29 minutes130110$0
11102Biopsy of related skin growth, first growth9586$0
17000Destruction of precancer skin growth, 1 growth8478$0
99214Established patient office or other outpatient visit, 30-39 minutes5739$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062432651View full group profile
NameSpecialtyState
-IL
Plastic And Reconstructive SurgeryIL
D E R M A T O L O G YIA
Physician AssistantIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL
P A T H O L O G YIL
Physician AssistantIL
-CA

Reviews

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Frequently asked questions

Is ALLISON LININ WANG listed with a National Provider Identifier?
Yes — ALLISON LININ WANG has NPI 1063953354 on file in the registry.
Is ALLISON LININ WANG still an active registrant?
ALLISON LININ WANG carries an active NPI according to the public dataset.
How would a patient describe ALLISON LININ WANG's focus?
For ALLISON LININ WANG, the primary taxonomy reads as Dermatology Physician. Clinical services aligned with this taxonomy classification.
Is ALLISON LININ WANG associated with Peoria?
Public fields place ALLISON LININ WANG around Peoria, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for ALLISON LININ WANG is noted as March 20, 2017 where the registry provides it.