Active NPI
Frank C Chao, MD
- Family Medicine Physician
- Carol Stream, IL
National Provider Identifier
1033143227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036065145
- Practice address
- 630 E North Ave
Dept of Family Practice
Carol Stream, IL 60188 - Phone
- (630) 458-5300
- NPI assigned
- Jul 11, 2006
- Last updated
- Jul 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036065145 | IL | Primary |
Addresses
Primary practice location
630 E North Ave
Dept of Family Practice
Carol Stream, IL 60188
Mailing address
630 E North Ave
Dept of Family Practice
Carol Stream, IL 60188
Phone (630) 458-5300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036065145 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110315000431 | IL | Practitioner - Family Practice | 1052593878 | Practice locations: Roselle, IL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531699200000",
"number": "1033143227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 E NORTH AVE",
"address_2": "DEPT OF FAMILY PRACTICE",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "60188",
"telephone_number": "630-458-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 E NORTH AVE",
"address_2": "DEPT OF FAMILY PRACTICE",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "60188",
"telephone_number": "630-458-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAO",
"first_name": "FRANK",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2018-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036065145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036065145",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carol Stream, IL
- Central Dupage Physical Medicine LT
- Central Dupage Physician Group (Northwestern Medicine Regional Medical Group)
- Central Dupage Physician Group (Northwestern Medicine Regional Medical Group)
- Central Dupage Surgical, Inc
- Brett Chamernik, M.D.
- Panhavut Chim, DMD
- Chrisp Ventures, LLC
- Anna Ciampanelli, PSY.D.
- Charlene Cismesia
- Cognitively Conscious Counseling, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.