Active NPI
Penuel Chun
- Vascular & Interventional Radiology Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 036.163946
- Practice address
- 355 Ridge Ave
Evanston, IL 60202-3328 - Phone
- (262) 292-3151
- NPI assigned
- Mar 23, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 125071391 | IL | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036.163946 | IL | Primary |
Addresses
Primary practice location
355 Ridge Ave
Evanston, IL 60202-3328
Mailing address
S. 1St Avenue
Maywood, IL 60153-3328
Phone (260) 460-0514
Other practice location 1
S. 1st. Avenue
Maywood, IL 60153
Phone (224) 678-5251
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
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3425
Hospital & facility affiliations
- Edward Hospital
- Swedish Hospital
- Elmhurst Memorial Hospital
- Northwestern Medicine Central Dupage Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.163946 | IL | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Naperville Radiologists, SC | Current | Accepting new patients | |
| Loyola University Medical Center | Current | Accepting new patients | |
| Precision Radiology - Illinois LTD | Current | Accepting new patients |
Locations
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800
355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329
801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450
9500 Bryn Mawr Ave
Ste 300
Rosemont, IL 60018
Phone (847) 410-5706
Interoperability endpoints
- pchun128733@direct.luhs.org
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Naperville, IL
- NPI 1750331856
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1376521575
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Naperville, IL
- NPI 1427069632
-
- General Acute Care Hospital
- Elmhurst, IL
- NPI 1548306343
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1942731757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S. 1ST AVENUE",
"city": "MAYWOOD",
"state": "IL",
"postal_code": "601533328",
"telephone_number": "260-460-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 RIDGE AVE",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023328",
"telephone_number": "262-292-3151"
}
],
"practiceLocations": [
{
"address_1": "S. 1st. Avenue",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "60153",
"country_code": "US",
"telephone_number": "224-678-5251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHUN",
"first_name": "PENUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-23",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "125071391",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IL",
"license": "036.163946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.