Organization Active NPI

Peace Medical Group Incorporated

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1619204625
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036123779 Issued in IL
Legal business name
PEACE MEDICAL GROUP INCORPORATED
Practice address
234 W Cermak Rd
1St Floor
Chicago, IL 60616-4879
Phone
(312) 808-0880
Fax
(312) 808-0840
NPI assigned
Nov 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Michelle Yu Zeng, MDNPI 1255665444
Title
Physician
Phone
(312) 808-0880

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 036123779 IL Primary

Addresses

Primary practice location

234 W Cermak Rd
1St Floor
Chicago, IL 60616-4879

Mailing address

PO Box 167378
Chicago, IL 60616-7378
Phone (312) 808-0880

Other identifiers 1

IdentifierTypeStateIssuer
036123779MedicaidIL

Other names 1

  • Anumi Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100318000888 IL Part B Supplier - Clinic/Group Practice 4082749817 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2000307Peace Medical Group Inc234 W Cermak Rd, 1St FL, Chicago, IL 60616Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory

Locations

234 W Cermak Rd
#1
Chicago, IL 60616
Phone (312) 808-0880

234 W Cermak Rd
Fl 1
Chicago, IL 60616
Phone (312) 808-0880

Practitioners & affiliated clinicians

Practitioners 1

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": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1619204625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167378",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606167378",
            "telephone_number": "312-808-0880",
            "fax_number": "312-808-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 W CERMAK RD",
            "address_2": "1ST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164879",
            "telephone_number": "312-808-0880",
            "fax_number": "312-808-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE MEDICAL GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "ZENG",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "YU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-808-0880",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036123779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123779",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anumi Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 8, 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.