Active NPI
Eric Chuang MD SC
- Internal Medicine Physician
- Glenview, IL
National Provider Identifier
1588043665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 042619731
- Legal business name
- ERIC CHUANG MD SC
- Practice address
- 4712 Laurel Ave
Glenview, IL 60025-1419 - Phone
- (847) 535-7736
- Fax
- (847) 768-1617
- NPI assigned
- May 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eric Chuang, M.D.
- Title
- President
- Phone
- (312) 371-8981
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 042619731 | IL | Primary |
Addresses
Primary practice location
4712 Laurel Ave
Glenview, IL 60025-1419
Mailing address
4712 Laurel Ave
Glenview, IL 60025-1419
Phone (847) 535-7736
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150713002600 | IL | Part B Supplier - Clinic/Group Practice | 3870805799 |
Receives reassigned benefits from 10 practitioners Practice locations: Glenview, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432252800000",
"number": "1588043665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4712 LAUREL AVE",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600251419",
"telephone_number": "847-535-7736",
"fax_number": "847-768-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4712 LAUREL AVE",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600251419",
"telephone_number": "847-535-7736",
"fax_number": "847-768-1617"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIC CHUANG MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A",
"authorized_official_last_name": "CHUANG",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-371-8981",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "042619731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.