3P4Care (Il) LLC Avondale

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.094438 Issued in IL

Legal business name

3P4CARE (IL) LLC AVONDALE

Doing business as

3P4Care Avondale

Practice address

3502 N Kedzie Ave
Chicago, IL 60618-5622

Phone

(773) 654-1888

Fax

(773) 754-7412

NPI assigned

Sep 14, 2015

Last updated

Nov 13, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

3P4CARE (IL) LLCAs reported in NPPES

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

Authorized official

Name

Dr. Augustine Chu-Kwan Wong, MDNPI 1205885688

Title

Director

Phone

(773) 654-1888

Specialties & licenses 2

Addresses

Other names 1

• 3P4Care Avondale Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23155/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Augustine Chu-Kwan Wong, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1205885688
  Medicare reassignment NPD Authorized official
• Rachel Oluwaseunayo Olugbenga, FPA, FNP-BC, DNP.

  • Family Nurse Practitioner
  • Fargo, ND
  • NPI 1457869992
  NPD (past)

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1467820001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185622",
            "telephone_number": "773-654-1888",
            "fax_number": "773-754-7412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 N KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185622",
            "telephone_number": "773-654-1888",
            "fax_number": "773-754-7412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3P4CARE (IL) LLC AVONDALE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "3P4CARE (IL) LLC",
        "enumeration_date": "2015-09-14",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "CHU-KWAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-654-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.094438",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3P4Care Avondale",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Nov 13, 2025; 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.