Active NPI
Chun Wong, DC
- Internist Chiropractor
- Algonquin, IL
National Provider Identifier
1740298157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internist Chiropractor
- License
- 038009161
- Practice address
- 1451 Merchant Dr
Algonquin, IL 60102-5917 - Phone
- (847) 854-8052
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 038009161 | IL | |
| Internist Chiropractor | 111NI0900X | 038009161 | IL | Primary |
Addresses
Primary practice location
1451 Merchant Dr
Algonquin, IL 60102-5917
Mailing address
106 Batista CT
Palm Desert, CA 92211-0796
Phone (760) 979-3236
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038009161 | IL | MD | Internist Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Wellness Care | Internist | 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": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1740298157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 BATISTA CT",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922110796",
"telephone_number": "760-979-3236",
"fax_number": "801-650-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 MERCHANT DR",
"city": "ALGONQUIN",
"state": "IL",
"postal_code": "601025917",
"telephone_number": "847-854-8052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "CHUN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "IL",
"license": "038009161",
"primary": false
},
{
"code": "111NI0900X",
"taxonomy_group": "",
"desc": "Chiropractor, Internist",
"state": "IL",
"license": "038009161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Algonquin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.