Organization Active NPI

Patient-Practitioner Partnership LLC

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1366620981
Registry record updated Feb 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PATIENT-PRACTITIONER PARTNERSHIP LLC
Practice address
2043 W 35TH St
Chicago, IL 60609-1103
Phone
(773) 254-0229
Fax
(773) 254-0229
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2008

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

Authorized official

Name
Dr. Chu-Kwan Augustine Wong, MD
Title
Director
Phone
(773) 254-0229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X IL Primary

Addresses

Primary practice location

2043 W 35TH St
Chicago, IL 60609-1103

Mailing address

2043 W 35TH St
Chicago, IL 60609-1103
Phone (773) 254-0229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202256000000",
    "number": "1366620981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2043 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091103",
            "telephone_number": "773-254-0229",
            "fax_number": "773-254-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 W 35TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606091103",
            "telephone_number": "773-254-0229",
            "fax_number": "773-254-0229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT-PRACTITIONER PARTNERSHIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2008-02-06",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "CHU-KWAN AUGUSTINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-254-0229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.