Active NPI
Cristina Chung
- Speech-Language Pathologist
- Wilmette, IL
National Provider Identifier
1811403645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.006877
- Practice address
- 615 Locust Rd
Wilmette, IL 60091-2237 - Phone
- (847) 512-6000
- NPI assigned
- Dec 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.006877 | IL | Primary |
Addresses
Primary practice location
615 Locust Rd
Wilmette, IL 60091-2237
Mailing address
569 Hunter Rd
Wilmette, IL 60091-2209
Phone (847) 512-6523
Other practice location 1
649 Prairie Ave
Wilmette, IL 60091-2531
Phone (847) 512-6300
Other practice location 2
1101 Dartmouth St
Wilmette, IL 60091-1362
Phone (847) 512-6200
Other practice location 3
910 Central Ave
Wilmette, IL 60091-2608
Phone (847) 512-6100
Other practice location 4
620 Locust Rd
Wilmette, IL 60091-2200
Phone (847) 512-6600
Other practice location 5
600 Romona Rd
Wilmette, IL 60091-2125
Phone (847) 512-6400
Other practice location 6
569 Hunter Rd
Wilmette, IL 60091-2209
Phone (847) 512-6500
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.006877 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1811403645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 HUNTER RD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912209",
"telephone_number": "847-512-6523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 LOCUST RD",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600912237",
"telephone_number": "847-512-6000"
}
],
"practiceLocations": [
{
"address_1": "649 Prairie Ave",
"address_purpose": "LOCATION",
"city": "Wilmette",
"state": "IL",
"postal_code": "600912531",
"country_code": "US",
"telephone_number": "847-512-6300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 Dartmouth St",
"address_purpose": "LOCATION",
"city": "Wilmette",
"state": "IL",
"postal_code": "600911362",
"country_code": "US",
"telephone_number": "847-512-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "910 Central Ave",
"address_purpose": "LOCATION",
"city": "Wilmette",
"state": "IL",
"postal_code": "600912608",
"country_code": "US",
"telephone_number": "847-512-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 Locust Rd",
"address_purpose": "LOCATION",
"city": "Wilmette",
"state": "IL",
"postal_code": "600912200",
"country_code": "US",
"telephone_number": "847-512-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "600 Romona Rd",
"address_purpose": "LOCATION",
"city": "Wilmette",
"state": "IL",
"postal_code": "600912125",
"country_code": "US",
"telephone_number": "847-512-6400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "569 Hunter Rd",
"address_purpose": "LOCATION",
"city": "Wilmette",
"state": "IL",
"postal_code": "600912209",
"country_code": "US",
"telephone_number": "847-512-6500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUNG",
"first_name": "CRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.006877",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.