Active NPI
Paul Anthony Kungl, MD
- Family Medicine Physician
- Oak Park, IL
National Provider Identifier
1831234749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036099273
- Practice address
- 1010 Lake St Ste 301
Oak Park, IL 60301-1133 - Phone
- (708) 524-8600
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036099273 | IL | Primary |
Addresses
Primary practice location
1010 Lake St Ste 301
Oak Park, IL 60301-1133
Mailing address
628 S Taylor Ave
Oak Park, IL 60304-1622
Phone (708) 763-0685
Other practice location 1
1010 Lake St
Suite 500
Oak Park, IL 60301-1147
Phone (708) 524-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036099273 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041111000080 | IL | Practitioner - Family Practice | 3577526540 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1010 Lake St
Suite 301
Oak Park, IL 60301-1133
Phone (708) 524-8600
1049 Lake St
Suite 201
Oak Park, IL 60301-6708
Hospital & facility affiliations
- West Suburban Medical Center
- Rush Oak Park Hospital
- Rush University Medical Center
- Elmhurst Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Street Family Physicians SC Inc | Family Medicine | Current | Accepting new patients |
| Rush University Medical Group | Family Medicine | Past | Accepting new patients |
| West Suburban Medical Center | Family Medicine | Past | Accepting new patients |
Locations
1010 Lake St
Ste 500
Oak Park, IL 60301
Phone (708) 524-8600
1010 Lake St
Ste 301
Oak Park, IL 60301
Phone (708) 524-8600
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HFAFDD
- admin@lakestreet.e-mdsdirect.com
- paul-kungl@lakestreet.e-mdsdirect.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Oak Park, IL
- NPI 1841363850
Family Medicine, IL
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
Family Medicine, IL
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1962974824
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oak Park, IL
- NPI 1619442266
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782086400000",
"number": "1831234749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 S TAYLOR AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603041622",
"telephone_number": "708-763-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LAKE ST STE 301",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603011133",
"telephone_number": "708-524-8600"
}
],
"practiceLocations": [
{
"address_1": "1010 Lake St",
"address_2": "Suite 500",
"address_purpose": "LOCATION",
"city": "Oak Park",
"state": "IL",
"postal_code": "603011147",
"country_code": "US",
"telephone_number": "708-524-8600",
"fax_number": "708-524-8147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUNGL",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-20",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036099273",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036099273",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.