NPIMap

Individual provider Active NPI

Seong Chin, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Glenview, IL
National Provider Identifier
1205941127
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
036112303 Issued in IL
Practice address
1255 Milwaukee Ave
Glenview, IL 60025-2425
Phone
(847) 294-5490
Fax
(847) 294-5496
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036112303 IL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 036112303 IL Primary

Addresses

Primary practice location

1255 Milwaukee Ave
Glenview, IL 60025-2425

Mailing address

1255 Milwaukee Ave
Glenview, IL 60025-2425
Phone (847) 294-5490

Other identifiers 1

IdentifierTypeStateIssuer
036112303MedicaidIL

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
I20050826000873 IL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 2264463447 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Des Plaines Community Health Care Center IncGroup PAC ID 3678924404, 4 clinicians

Practice addresses (Care Compare)

1775 Dempster St
Park Ridge, IL 60068-1143
Phone (847) 723-2210

380 E Northwest Hwy
Suite 200
Des Plaines, IL 60016-2274
Phone (847) 813-0700

Hospital & facility affiliations

  • Sanctuary Hospice Hospice, Westchester, IL, CCN 141648
  • Advocate Hospice Hospice, Oak Brook, IL, CCN 141516
  • Advocate Lutheran General Hospital Hospital, Park Ridge, IL, CCN 140223
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Niles NSG & Rehab Ctr Nursing home, Niles, IL, CCN 145696
  • Elevate Care Niles Nursing home, Niles, IL, CCN 145662
  • Claridge Healthcare Center Nursing home, Lake Bluff, IL, CCN 145434

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arvind Patel M.D.S.C. CurrentSince Mar 1, 2023 Accepting new patients
Des Plaines Community Health Care Center Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

380 E Northwest Hwy
Ste 200
Des Plaines, IL 60016
Phone (847) 299-6400

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

1555 N Barrington Rd
Hoffman Estates, IL 60169
Phone (847) 490-2923

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

Interoperability endpoints

  • Direct secure messaging: schin252166@direct.myadvocateaurora.org

Organizations & group practices 3

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

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228348800000",
    "number": "1205941127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252425",
            "telephone_number": "847-294-5490",
            "fax_number": "847-294-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 MILWAUKEE AVE",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252425",
            "telephone_number": "847-294-5490",
            "fax_number": "847-294-5496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "SEONG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036112303",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036112303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036112303",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

Verify at the official NPI Registry.