NPIMap

Organization Active NPI

Eric Chuang MD SC

  • Internal Medicine Physician
  • Glenview, IL
National Provider Identifier
1588043665
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
042619731 Issued in IL
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
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Eric Chuang, M.D.NPI 1124140207
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 IDStateProvider typePAC IDDetails
O20150713002600 IL Part B Supplier - Clinic/Group Practice 3870805799 Receives reassigned benefits from 10 practitioners
Practice locations: Glenview, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

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.

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.

Verify at the official NPI Registry.