Edith Merle Chaffin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036067419 Issued in IL

Practice address

6307 S Stewart Ave
Suite 204
Chicago, IL 60621-3116

Phone

(773) 487-3017

Fax

(773) 487-3028

NPI assigned

May 19, 2006

Last updated

Aug 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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 PracticeAlso: Geriatric Medicine

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beyond Wound Care IncGroup PAC ID 2365970092, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Advance Care Home Health, Inc Home health agency, Niles, IL, CCN 147866
• Brighter Days Home Health Agency Home health agency, South Holland, IL, CCN 147795
• North Shore Healthcare, Inc Home health agency, Park Ridge, IL, CCN 148326
• Classic Health Services, Inc, Home health agency, Lombard, IL, CCN 147901
• Chicago Health, Inc Home health agency, Park Ridge, IL, CCN 147881

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: echaffin@direct-address.org

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.

• Beyond Wound Care Inc

  • Family Medicine Physician
  • Schaumburg, IL
  • NPI 1265263677
  Medicare reassignment Care Compare group NPD
• Visiting Medical Physicians Inc

  • Multi-Specialty Clinic/Center
  • Schaumburg, IL
  • NPI 1699586909
  Medicare reassignment NPD
• Community Family Medicine LTD

  • Clinic/Center
  • Chicago, IL
  • NPI 1316123961
  Authorized official Same address or phone

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

• Advance Care Home Health, Inc.

  • Home Health Agency
  • Niles, IL
  • NPI 1780692566
  Care Compare affiliation
• Chicago Health Inc.

  • Home Health Agency
  • Chicago, IL
  • NPI 1326061458
  Care Compare affiliation
• Classic Health Services, Inc.

  • Home Health Agency
  • Lombard, IL
  • NPI 1740230622
  Care Compare affiliation
• Laketop Inc.

  dba Brighter Days Home Health Agency

  • Home Health Agency
  • Homewood, IL
  • NPI 1073589230
  Care Compare affiliation
• North Shore Healthcare, Inc

  • Home Health Agency
  • Park Ridge, IL
  • NPI 1215183397
  Care Compare affiliation

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1306899216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE STE 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-487-3017",
            "fax_number": "773-487-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE",
            "address_2": "SUITE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-487-3017",
            "fax_number": "773-487-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFIN",
        "first_name": "EDITH",
        "middle_name": "MERLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036067419",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036067419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036067419",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dong Hoon Chae, DDS
• Ga Young Chae, DDS
• John Minkyu Chae, D.D.S.
• Kristin J.N. Chae, MSW, LCSW
• Young Kwang Chae, MD, MPH, MBA
• Alex Chafin, LSW
• Aenasha Milan Chag
• Michael A Chaglasian, OD
• Debbie Chagoya, NP
• Karechia Chagoya

• 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 Aug 21, 2020; 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.