Individual provider Active NPI

Douglas Chung, D.C

  • Chiropractor
  • Des Plaines, IL
National Provider Identifier
1437220902
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Practice address
9820 N Milwaukee Ave
Unit C & D
Des Plaines, IL 60016-0000
Phone
(815) 458-6597
Fax
(815) 458-7934
NPI assigned
Nov 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X IL Primary

Addresses

Primary practice location

9820 N Milwaukee Ave
Unit C & D
Des Plaines, IL 60016-0000

Mailing address

9820 N Milwaukee Ave
Unit C & D
Des Plaines, IL 60016-0000
Phone (815) 458-6597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060117000317 IL Practitioner - Chiropractic 2769406875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chung Clinic IncGroup PAC ID 6901980358, 2 clinicians

Practice addresses (Care Compare)

9820 Milwaukee Ave
Suite D
Des Plaines, IL 60016-1805
Phone (847) 296-1004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chung Clinic Inc. Chiropractor CurrentSince Feb 25, 2008 Accepting new patients
United Foot & Ankle Surgeons, P.C. Past Accepting new patients

Locations

9820 Milwaukee Ave
Ste D
Des Plaines, IL 60016
Phone (847) 296-1004

9820 Milwaukee Ave
Ste C
Des Plaines, IL 60016
Phone (847) 213-9003

9820 Milwaukee Ave
Des Plaines, IL 60016
Phone (847) 213-9003

9820 Milwaukee Ave
Ste Cd
Des Plaines, IL 60016
Phone (847) 296-1004

9820 Milwaukee Ave
Unit Cd
Des Plaines, IL 60016

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437220902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 N MILWAUKEE AVE",
            "address_2": "UNIT C & D",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600160000",
            "telephone_number": "815-458-6597",
            "fax_number": "815-458-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9820 N MILWAUKEE AVE",
            "address_2": "UNIT C & D",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600160000",
            "telephone_number": "815-458-6597",
            "fax_number": "815-458-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • 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.
  • 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.