Provider Demographics
NPI:1649847146
Name:WU, JESSICA HAO-CHEN (DOCTOR OF MEDICINE)
Entity type:Individual
Prefix:MS
First Name:JESSICA HAO-CHEN
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:DOCTOR OF MEDICINE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 S FAIRFIELD
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60608
Mailing Address - Country:US
Mailing Address - Phone:773-257-6613
Mailing Address - Fax:773-257-6359
Practice Address - Street 1:1500 S FAIRFIELD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608
Practice Address - Country:US
Practice Address - Phone:773-257-6613
Practice Address - Fax:773-257-6359
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program