Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Enjay Wong, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275094815

Daniel Enjay Wong, MD is a Plastic and Reconstructive Surgery in Chicago, Illinois. Qualified in 2019, 7 years ago. Practices with Sansum Clinic, a 320-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (773) 795-1240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 125.073701 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275094815
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESMay 8, 2019
Mailing address180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sansum Clinic — 320 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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