NPIMap

Individual provider Active NPI

David Ying Foong Chiou, M.D.

  • Internal Medicine Physician
  • Mundelein, IL
National Provider Identifier
1093779084
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036098964 Issued in IL
Practice address
157 N Seymour Ave
Mundelein, IL 60060-2304
Phone
(847) 566-0300
Fax
(847) 566-2818
NPI assigned
Apr 14, 2006
Last updated
May 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036098964 IL Primary

Addresses

Primary practice location

157 N Seymour Ave
Mundelein, IL 60060-2304

Mailing address

157 N Seymour Ave
Mundelein, IL 60060-2304
Phone (847) 566-0300

Other identifiers 3

IdentifierTypeStateIssuer
036-098964OtherILLICENSES
P01420000OtherILRAILROAD MEDICARE
036098964MedicaidIL

Other names 1

  • Dr. David Chiou Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100802001002 IL Practitioner - Internal Medicine 0446383178 Reassigns benefits to 2 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: Zion, IL; Elgin, IL; Willowbrook, IL; Wheeling, IL; Waukegan, IL; Schaumburg, IL; Round Lake Beach, IL; Niles, IL…

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake County Medical Group SCGroup PAC ID 2961531959, 2 clinicians

Practice addresses (Care Compare)

1170 E Belvidere Rd
Suite 202
Grayslake, IL 60030-2076
Phone (847) 566-0300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036098964ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake County Medical Group SC CurrentSince Jul 1, 2002 Accepting new patients
Sigma Haggerty Medical PA CurrentSince Aug 1, 2017 Accepting new patients

Locations

2625 W Touhy Ave
Chicago, IL 60645
Phone (773) 907-1818

5831 N Northwest Hwy
Chicago, IL 60631
Phone (773) 775-8080

134 N McLean Blvd
Elgin, IL 60123
Phone (773) 463-5383

50 N Jane Dr
Elgin, IL 60123
Phone (815) 844-2610

1300 Oak Ave
Evanston, IL 60201
Phone (847) 869-1300

1406 Chicago Ave
Evanston, IL 60201
Phone (847) 328-6503

901 Maple Ave
Evanston, IL 60202
Phone (847) 425-4000

1170 E Belvidere Rd
Ste 202
Grayslake, IL 60030
Phone (847) 566-0300

500 S Walnut St
Momence, IL 60954
Phone (815) 308-0850

157 N Seymour Ave
Mundelein, IL 60060
Phone (847) 566-0300

9777 N Greenwood Ave
Niles, IL 60714
Phone (847) 470-0000

270 Skokie Blvd
Northbrook, IL 60062
Phone (847) 418-3998

675 S Roselle Rd
Schaumburg, IL 60193
Phone (847) 352-5500

1615 Sunset Ave
Waukegan, IL 60087
Phone (847) 244-6700

7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680

2534 Elim Ave
Zion, IL 60099
Phone (847) 731-4022

3615 16th St
Zion, IL 60099
Phone (847) 746-8332

21333 Haggerty Rd
Ste 150
Novi, MI 48375
Phone (248) 662-0250

Interoperability endpoints

  • Direct secure messaging: dchiou@gm-mi.direct.office.nextgen.com

Practitioners & affiliated clinicians

Practitioners 1

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.

Organizations & group practices 2

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

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1093779084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N SEYMOUR AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602304",
            "telephone_number": "847-566-0300",
            "fax_number": "847-566-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N SEYMOUR AVE",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600602304",
            "telephone_number": "847-566-0300",
            "fax_number": "847-566-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIOU",
        "first_name": "DAVID",
        "middle_name": "YING FOONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSES",
            "identifier": "036-098964",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01420000",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098964",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAVID",
            "last_name": "CHIOU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mundelein, IL

Sources for this page

Verify at the official NPI Registry.