Nolan Kin Ming Chun, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019024932 Issued in IL

Practice address

1560 Sherman Ave Ste 520
Evanston, IL 60201-4806

Phone

(847) 864-6951

Fax

(847) 864-6957

NPI assigned

Jun 14, 2006

Last updated

May 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Nolan K M Chun DDS PC

  dba Evanston Dental Care

  • Dental Clinic/Center
  • Evanston, IL
  • NPI 1528681210
  NPD Authorized official
• Procare Dental Group, P.C.

  dba Grand Dentistry

  • Dentist
  • Gurnee, IL
  • NPI 1124185467
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1306889316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE STE 520",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014806",
            "telephone_number": "847-864-6951",
            "fax_number": "847-864-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 SHERMAN AVE STE 520",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602014806",
            "telephone_number": "847-864-6951",
            "fax_number": "847-864-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUN",
        "first_name": "NOLAN",
        "middle_name": "KIN MING",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019024932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chronic Illness Psychotherapy LLC
• Anna Chu, APRN
• Rowena Arlene Chua, M.D.
• Emily Chuang
• Deborah Chun, NP
• Penuel Chun
• Alissa Karen Chung, PH.D.
• Churchwell Psychiatry, S.C.
• Kinga A Chybowska, APN-CNP
• Thomas Lee Cibull, M.D.

• General Practice Dentistry in Evanston, IL
• Providers in Evanston, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.