Sung J Chung, MD

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Practice address

2201 Glenwood Ave
Joliet, IL 60435-5574

Phone

(815) 725-1191

Fax

(815) 725-2048

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

OtolaryngologyAlso: Allergy/Immunology

Education

University of Cincinnati College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

ENT Surgical Consultants LTDGroup PAC ID 2668446584, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
• Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sungchung@entsc.allscriptsdirect.net

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.

• ENT Surgical Consultants, LTD

  • Otolaryngology Physician
  • Joliet, IL
  • NPI 1881620177

  IL, Otolaryngology

  Medicare reassignment Care Compare group NPD
• Surgery Center of Joliet, LLC

  • Ambulatory Surgical Clinic/Center
  • Joliet, IL
  • NPI 1376576025
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Medical Center - Joliet LLC

  • General Acute Care Hospital
  • Joliet, IL
  • NPI 1760220198

  Hospital

  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • Rehabilitation Hospital Unit
  • New Lenox, IL
  • NPI 1003933797

  Hospital

  Care Compare affiliation
• Silver Cross Hospital & Medical Centers

  • General Acute Care Hospital
  • New Lenox, IL
  • NPI 1568553519

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1912980574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355574",
            "telephone_number": "815-725-1191",
            "fax_number": "815-725-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355574",
            "telephone_number": "815-725-1191",
            "fax_number": "815-725-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "SUNG",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CH4890",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Christensen
• Ginger Ann Christian, DDS
• James Joseph Christopher I, LCPC
• Ludomir Chronowski
• Lindsay Chrzanowski, LCSW
• Churchill Physical Health Center SC
• Brittany Rose Churnovic, M.H.S.
• Gintautas Ciabilis, MD
• Christopher Joseph Ciesla, M.A.
• Sheldon M. Cin, M.D.

• All providers in Joliet, IL
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.

Verify at the official NPI Registry.