Individual provider Active NPI

Catherine L Chung, APN

  • Family Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1003325267
Registry record updated Sep 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.016478 Issued in IL
Practice address
2142 S Archer Ave
Chicago, IL 60616-1514
Phone
(312) 326-1408
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.016478 IL Primary

Addresses

Primary practice location

2142 S Archer Ave
Chicago, IL 60616-1514

Mailing address

2715 Stockton Rd
Naperville, IL 60564-9470
Phone (847) 226-3755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230321000412 TX Practitioner - Nurse Practitioner 6901956671 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Long Term Health Careline CorpGroup PAC ID 2264882950, 10 clinicians

Practice addresses (Care Compare)

3650 S I
Suite 35
Waxahachie, TX 75165-5427
Phone (972) 937-7320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.016478ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource Home Care, Inc. CurrentSince Jun 17, 2008 Accepting new patients
Long Term Health Careline Corp CurrentSince Feb 25, 2024 Accepting new patients
LTHC Solutions LLC CurrentSince Feb 25, 2024 Accepting new patients
Comprehensive Rehab Consultants PLLC Family CurrentSince Mar 1, 2023 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

230 S Clark Rd
Cedar Hill, TX 75104
Phone (972) 291-7877

2035 Granbury St
Cleburne, TX 76033
Phone (817) 228-4855

603 E Plantation Dr
Clute, TX 77531
Phone (979) 265-4221

8017 W Virginia Dr
Dallas, TX 75237
Phone (972) 709-1112

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

330 W Camp Wisdom Rd
Duncanville, TX 75116
Phone (972) 298-3398

900 Westpark Way
Euless, TX 76040
Phone (817) 545-4071

8703 Davis Blvd
Keller, TX 76248
Phone (817) 577-9999

101 Reese Dr
Red Oak, TX 75154
Phone (469) 552-0500

2450 E 5th St
Tyler, TX 75701
Phone (903) 592-6745

3650 S Interstate Highway 35 E
Waxahachie, TX 75165
Phone (972) 875-9051

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505865600000",
    "number": "1003325267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 STOCKTON RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605649470",
            "telephone_number": "847-226-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161514",
            "telephone_number": "312-326-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "CATHERINE",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.016478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.