David Scott Chudwin, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

036-064258 Issued in IL

Practice address

475 Brown Blvd
Bourbonnais, IL 60914-2325

Phone

(815) 933-5092

Fax

(815) 933-5494

NPI assigned

Jul 26, 2005

Last updated

Dec 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

University of Michigan Medical School, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salmon S Goldberg MD and David S Chudwin MDSCGroup PAC ID 6002873502, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dchudwin237832@direct.myadvocateaurora.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salmon S Goldberg MD and David S Chudwin MDSC

  dba Allergy and Asthma Associates

  • Allergy & Immunology (Internal Medicine) Physician
  • Northbrook, IL
  • NPI 1366585614
  Medicare reassignment Care Compare group NPD Authorized official
• Allergy & Asthma Associates LTD

  • Allergy & Immunology (Internal Medicine) Physician
  • Crystal Lake, IL
  • NPI 1013104587
  Authorized official Same address or phone
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1669472262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BRIARWOOD LN",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600692500",
            "telephone_number": "847-272-4296",
            "fax_number": "847-272-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 BROWN BLVD",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609142325",
            "telephone_number": "815-933-5092",
            "fax_number": "815-933-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDWIN",
        "first_name": "DAVID",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "036-064258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dchudwin237832@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "475 Brown Blvd",
            "city": "Bourbonnais",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609142325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "475 Brown Blvd",
            "city": "Bourbonnais",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609142325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Austin Chinn
• Elizabeth Marie Chinski, PTA
• Vicki Chinski
• Chris Martin II OD PC
• Rebecca Christy
• Ashley Lynn Cirrencione, ATC
• Citadel of Bourbonnais LLC (The Citadel of Bourbonnais)
• Ericka Clark, LCPC
• Coffman Counseling LLC
• Jared Coffman

• Allergy & Immunology Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Allergy & Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.