Active NPI
Tien C. Cheng, MD,SC
- Specialist
- Gurnee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036047818
- Legal business name
- TIEN C. CHENG, MD,SC
- Doing business as
- Tien C. Cheng, MD,SC
- Practice address
- 5101 Washington St Ste 24
Gurnee, IL 60031-2988 - Phone
- (847) 623-9700
- Fax
- (847) 623-9711
- NPI assigned
- Apr 6, 2007
- Last updated
- Oct 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tien C. Cheng, MD
- Title
- Physician
- Phone
- (847) 623-9700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036047818 | IL | Primary |
Addresses
Primary practice location
5101 Washington St Ste 24
Gurnee, IL 60031-2988
Mailing address
5101 Washington St Ste 24
Gurnee, IL 60031-2988
Phone (847) 623-9700
Other names 1
- Tien C. Cheng, MD,SC
National Provider Directory
National Provider DirectoryLocations
5101 Washington St
Ste 24
Gurnee, IL 60031
Phone (847) 623-9700
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Gurnee, IL
- NPI 1003881293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287360000000",
"number": "1760504864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 WASHINGTON ST STE 24",
"city": "GURNEE",
"state": "IL",
"postal_code": "600312988",
"telephone_number": "847-623-9700",
"fax_number": "847-623-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 WASHINGTON ST STE 24",
"city": "GURNEE",
"state": "IL",
"postal_code": "600312988",
"telephone_number": "847-623-9700",
"fax_number": "847-623-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIEN C. CHENG, MD,SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-06",
"last_updated": "2010-10-18",
"status": "A",
"authorized_official_last_name": "CHENG",
"authorized_official_first_name": "TIEN",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "847-623-9700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036047818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tien C. Cheng, MD,SC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gurnee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.