Individual provider Active NPI

Penuel Chun

  • Vascular & Interventional Radiology Physician
  • Evanston, IL
National Provider Identifier
1942731757
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036.163946 Issued in IL
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

Updated by the provider on Jul 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818002921 IL Practitioner - Interventional Radiology 9830578129 Reassigns benefits to 2 organizations

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
Naperville Radiologists SCGroup PAC ID 3870492572, 16 clinicians

Practice addresses (Care Compare)

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3425

Hospital & facility affiliations

  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.163946ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Radiologists, SC CurrentSince Aug 1, 2025 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Precision Radiology - Illinois LTD CurrentSince Jul 31, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.