Organization Active NPI

Bian Chicago Medical Management Services LLC

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1790384386
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BIAN CHICAGO MEDICAL MANAGEMENT SERVICES LLC
Practice address
600 W Chicago Ave
Suite 001
Chicago, IL 60654-2802
Phone
(206) 743-4885
NPI assigned
Oct 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Che Yen Chan
Title
Director of Operations
Phone
(206) 743-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

600 W Chicago Ave
Suite 001
Chicago, IL 60654-2802

Mailing address

600 W Chicago Ave Ste 001
Chicago, IL 60654-2802
Phone (206) 743-4885

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1790384386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W CHICAGO AVE STE 001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606542802",
            "telephone_number": "206-743-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W CHICAGO AVE",
            "address_2": "SUITE 001",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606542802",
            "telephone_number": "206-743-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIAN CHICAGO MEDICAL MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CHE YEN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "206-743-4885"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "address_1": "600 W Chicago Ave",
            "address_2": "Suite 001",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606542802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.