Organization Active NPI

Family Focused Healthcare

  • Family Medicine Physician
  • Gurnee, IL
National Provider Identifier
1073704128
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY FOCUSED HEALTHCARE
Practice address
1445 N Hunt Club Rd
Suite 304
Gurnee, IL 60031-2603
Phone
(847) 855-0100
Fax
(847) 855-0101
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Wai Chee Cheung-O'Carroll, M.D.
Title
President
Phone
(847) 855-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

1445 N Hunt Club Rd
Suite 304
Gurnee, IL 60031-2603

Mailing address

1445 N Hunt Club Rd
Suite 304
Gurnee, IL 60031-2603
Phone (847) 855-0100

Other identifiers 1

IdentifierTypeStateIssuer
04932117OtherILBLUE CROSS BLUE SHIELD ID

Other names 1

  • Wai Chee Cheung-O'Carroll, M.D., S.C. Doing business as

National Provider Directory

National Provider Directory

Locations

1445 N Hunt Club Rd
Ste 304
Gurnee, IL 60031
Phone (847) 855-0100

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1073704128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD",
            "address_2": "SUITE 304",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-855-0100",
            "fax_number": "847-855-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD",
            "address_2": "SUITE 304",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-855-0100",
            "fax_number": "847-855-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOCUSED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHEUNG-O'CARROLL",
        "authorized_official_first_name": "WAI",
        "authorized_official_middle_name": "CHEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-855-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "04932117",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wai Chee Cheung-O'Carroll, M.D., S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.