Individual provider Active NPI

Chase W Kwon, MD

  • Dermatology Physician
  • Hinsdale, IL
National Provider Identifier
1801384029
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
036.173296 Issued in IL
Practice address
920 N York Rd Ste 100
Hinsdale, IL 60521-3515
Phone
(312) 319-1978
NPI assigned
Apr 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036.173296 IL Primary

Addresses

Primary practice location

920 N York Rd Ste 100
Hinsdale, IL 60521-3515

Mailing address

920 N York Rd Ste 100
Hinsdale, IL 60521-3515
Phone (312) 319-1978

Other practice location 1

737 N Michigan Ave Ste 720
Chicago, IL 60611-6661
Phone (312) 319-1978

Other practice location 2

4905 Old Orchard Ctr Lowr Level
Skokie, IL 60077-1458
Phone (312) 319-1978

Other practice location 3

1945 W Wilson Ave Ste 6119
Chicago, IL 60640-5259
Phone (312) 319-1978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220830000064 MD Practitioner - Dermatology 2961757620 Reassigns benefits to 1 organization
I20250407002529 IL Practitioner - Dermatology 2961757620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Rochester School of Medicine and Dentistry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan C Carqueville MD LLCGroup PAC ID 6709116361, 10 clinicians

Practice addresses (Care Compare)

920 N York Rd
Suite 100
Hinsdale, IL 60521-5905
Phone (312) 319-1978

Merit-based Incentive Payment System (MIPS)

Final score
82.93 of 100Reported as group
Quality
64.42
Promoting interoperability
99
Improvement activities
40
Cost
73.2

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions62
Removal or shaving of skin growth1-10
Skin biopsy17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.173296ILMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan C. Carqueville, MD LLC Dermatology CurrentSince Apr 28, 2025 Accepting new patients
Elizabeth Mitchell Dugan MD LLC Past Accepting new patients
Annapolis Dermatology Center, PA Dermatology PastSince Jan 11, 1999 Accepting new patients

Locations

737 N Michigan Ave
Ste 720
Chicago, IL 60611
Phone (312) 255-0110

1945 W Wilson Ave
Ste 6119
Chicago, IL 60640
Phone (312) 319-1978

920 N York Rd
Ste 100
Hinsdale, IL 60521
Phone (312) 319-1978

Organizations & group practices 4

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": "1524441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1801384029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N YORK RD STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213515",
            "telephone_number": "312-319-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N YORK RD STE 100",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213515",
            "telephone_number": "312-319-1978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "737 N Michigan Ave Ste 720",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606116661",
            "country_code": "US",
            "telephone_number": "312-319-1978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4905 Old Orchard Ctr Lowr Level",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600771458",
            "country_code": "US",
            "telephone_number": "312-319-1978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1945 W Wilson Ave Ste 6119",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405259",
            "country_code": "US",
            "telephone_number": "312-319-1978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KWON",
        "first_name": "CHASE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-23",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036.173296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.