Individual provider Active NPI

Chang Chao, LAC

  • Acupuncturist
  • Schaumburg, IL
National Provider Identifier
1679010540
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
198001249 Issued in IL
Practice address
925 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-4807
Phone
(630) 912-2574
Fax
(630) 912-2575
NPI assigned
Jan 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 198001249 IL Primary

Addresses

Primary practice location

925 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-4807

Mailing address

925 N Plum Grove Rd
Suite a
Schaumburg, IL 60173-4807
Phone (630) 912-2574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
198001249ILMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Goodday Chiropractic&Rehab Acupuncturist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1485734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1679010540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N PLUM GROVE RD",
            "address_2": "SUITE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734807",
            "telephone_number": "630-912-2574",
            "fax_number": "630-912-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N PLUM GROVE RD",
            "address_2": "SUITE A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734807",
            "telephone_number": "630-912-2574",
            "fax_number": "630-912-2575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "CHANG",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-30",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IL",
            "license": "198001249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.