Chinese Provider Group of Illinois PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CHINESE PROVIDER GROUP OF ILLINOIS PLLC

Practice address

201 Park PL Ste 2
Bourbonnais, IL 60914-1883

Phone

(833) 308-8876

NPI assigned

Aug 31, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ming Xu, MDNPI 1548271018

Title

President

Phone

(833) 308-8876

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ming Xu, MD

  • Psychiatry Physician
  • Bourbonnais, IL
  • NPI 1548271018
  Medicare reassignment NPD Authorized official
• Feiteng Su, MD

  • Psychiatry Physician
  • Urbana, IL
  • NPI 1477572733
  Medicare reassignment NPD
• Qingying Lai

  • Hospitalist Physician
  • Hackensack, NJ
  • NPI 1083098040
  NPD (past)
• Ningjing Li, MD, PHD

  • Hematology & Oncology Physician
  • Houston, TX
  • NPI 1629457809
  NPD (past)

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1023894557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 MIDWEST CLUB PKWY",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232535",
            "telephone_number": "833-308-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK PL STE 2",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141883",
            "telephone_number": "833-308-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINESE PROVIDER GROUP OF ILLINOIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "MING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-308-8876",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritu Chandan, D.O.
• Robert Felix Chavez, D.D.S
• David Orin Cherry
• Chicago Hearing LLC (Miracle Ear)
• Victoria L Chilo
• Austin Chinn
• Elizabeth Marie Chinski, PTA
• Vicki Chinski
• Chris Martin II OD PC
• Rebecca Christy

• General Practice Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.