Active NPI
Lucia S Chung, APN-CNP
- Obstetrics & Gynecology Nurse Practitioner
- Highland Park, IL
National Provider Identifier
1679750111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- Practice address
- 777 Park Ave W
Highland Park Hospital
Highland Park, IL 60035-2433 - Phone
- (847) 657-5677
- Fax
- (847) 657-5754
- NPI assigned
- Jan 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | IL | Primary |
Addresses
Primary practice location
777 Park Ave W
Highland Park Hospital
Highland Park, IL 60035-2433
Mailing address
2650 Ridge Ave
Evanston Northwestern Healthcare
Evanston, IL 60201-1718
Phone (847) 570-1644
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041184791 | IL | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201478400000",
"number": "1679750111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE",
"address_2": "EVANSTON NORTHWESTERN HEALTHCARE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011718",
"telephone_number": "847-570-1644",
"fax_number": "847-733-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 PARK AVE W",
"address_2": "HIGHLAND PARK HOSPITAL",
"city": "HIGHLAND PARK",
"state": "IL",
"postal_code": "600352433",
"telephone_number": "847-657-5677",
"fax_number": "847-657-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUNG",
"first_name": "LUCIA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "APN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-28",
"last_updated": "2008-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.