David Cheng, MD
Individual provider Active NPI Urology Physician · Freeport, IL
NPI 1700850773 · NPPES record last updated Oct 19, 2017
Key facts
- NPI
- 1700850773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 036068760 (IL)
- Practice address
- 1036 W Stephenson St
Freeport, IL 61032-4865 - Phone
- (815) 599-6000
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036068760 | IL | Yes |
Addresses
Primary practice location
1036 W Stephenson St
Freeport, IL 61032-4865
Mailing address
421 W Exchange St
PO Box 268
Freeport, IL 61032-4030
Phone (815) 599-7958
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036068760 | Medicaid | IL |
Other providers in Freeport, IL
- Rafael R Castro
- Briana Caswell
- Catholic Charities - Diocese of Rockford
- Tiffany Chander
- Erica Chapple
- Young Chung
- Charles Cicero
- Citadel at Saint Joseph Village LLC
- City of Freeport
- Sue Ann Clark Sr.
All providers in Freeport, IL · Urology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.