JENNY WANG (MD) – Pediatrics Physician, NPI 1700989712

JENNY WANG (MD) is a healthcare provider. based in Maywood, Illinois. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 036109592 (IL). The NPI Number for JENNY WANG (MD) is 1700989712

Main info

Female
Name
JENNY WANG (MD)
NPI
1700989712
Phone
(708) 216-4403
Address
2160 S FIRST AVE
Enumeration Date
6 September 2006
Last Update Date
19 April 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for JENNY WANG (MD)

  • 2160 S FIRST AVE

    (MAGUIRE CENTER, RM. 3307)

    MAYWOOD, IL 60153

    Phone: (708) 216-4403

    Fax: (708) 216-3375

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-10-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20061020000310ICritical Care (Intensivists)ILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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Reviews

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Frequently asked questions

How is JENNY WANG (MD) identified in CMS data?
CMS-hosted NPPES data lists JENNY WANG (MD) with NPI 1700989712.
Does CMS list JENNY WANG (MD) as active?
Yes — JENNY WANG (MD) is active in the NPI listing used on this page.
What is JENNY WANG (MD)'s specialty?
The listing groups JENNY WANG (MD) with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JENNY WANG (MD) on a map?
Expect Maywood, Illinois as a primary anchor for JENNY WANG (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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