Cheng H Lin

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Practice address

9050 W 81St St
Justice, IL 60458-1350

Phone

(708) 563-0666

Fax

(708) 563-0851

NPI assigned

Jul 31, 2006

Last updated

Jul 8, 2007By 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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316953763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9050 W 81ST ST",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604581350",
            "telephone_number": "708-563-0666",
            "fax_number": "708-563-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 W 81ST ST",
            "city": "JUSTICE",
            "state": "IL",
            "postal_code": "604581350",
            "telephone_number": "708-563-0666",
            "fax_number": "708-563-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIN",
        "first_name": "CHENG",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia G James, LCSW
• Megan Jurgel, RDN
• Justice Med Lab
• Justice Med-Lab
• Samrah Kelly
• Madhavi Gadde DMD LTD
• Subhan Manzoor, DDS
• Kali Marie Martin, MS SLP-CCC
• Mary I. Pitaro, M.D., LTD.
• Katy Rose McCullough

• General Practice Physician in Justice, IL
• Providers in Justice, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.