Organization Active NPI

Tien C. Cheng, MD,SC

  • Specialist
  • Gurnee, IL
National Provider Identifier
1760504864
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036047818 Issued in IL
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Tien C. Cheng, MDNPI 1003881293
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.