Augustine Chu-Kwan Wong, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-094438 Issued in IL

Practice address

3502 N Kedzie Ave
Chicago, IL 60618-1103

Phone

(773) 654-1888

Fax

(773) 754-7412

NPI assigned

May 10, 2006

Last updated

Jan 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Chu-Kwan Augustine Wong Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Swedish Hospital Hospital, Chicago, IL, CCN 140114

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chu-kwan.augustine.wong.1@23155.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/23155/brand/1/csg/1/fhir/r4

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.

• 3P4Care (Il) LLC Avondale

  dba 3P4Care Avondale

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1467820001
  Medicare reassignment NPD Authorized official
• Advocate North Side Health Network

  dba Advocate Pharmacy #1510

  • Institutional Pharmacy
  • Chicago, IL
  • NPI 1114645470
  NPD (past)

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

• Swedish Covenant Health

  dba Endeavor Health Swedish Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1831151257
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1205885688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181103",
            "telephone_number": "773-654-1888",
            "fax_number": "773-754-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606181103",
            "telephone_number": "773-654-1888",
            "fax_number": "773-754-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "AUGUSTINE",
        "middle_name": "CHU-KWAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-094438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036094438",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHU-KWAN AUGUSTINE",
            "last_name": "WONG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Wone, LCSW
• Alexis Wong, RN
• Alton Wong, MD
• Anthony Howah Wong, PHARM D
• Ashleigh Wong, BCBA
• Bryan Ying Wong, PA
• Calvin W Wong, MD
• Claire Wong, D.O.
• Clarissa Christabel Wong
• Crystal S. Wong, O.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.