Active NPI
Dong Gue Oh, MD
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 125.077578
- Practice address
- 2150 W Harrison St
Chicago, IL 60612-3706 - Phone
- (312) 942-5375
- NPI assigned
- May 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 125.077578 | IL | Primary |
Addresses
Primary practice location
2150 W Harrison St
Chicago, IL 60612-3706
Mailing address
2150 W Harrison St
Chicago, IL 60612-3706
Phone (312) 942-5375
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
- Psychiatry
- Education
- Rush Medical College of Rush University, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
98 Miller Dr
Suite 103
North Aurora, IL 60542-1869
Phone (630) 566-2721
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.077578 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mugen Psychiatry LLC | Psychiatry | Current | Accepting new patients |
| Rockford Psychiatric Medical Services, S.C. | Psychiatry | Current | Accepting new patients |
Locations
486 W Boughton Rd
Ste B
Bolingbrook, IL 60440
Phone (630) 566-2090
3023 N Clark St
Ste 593
Chicago, IL 60657
Phone (205) 427-9243
3023 N Clark St
#593
Chicago, IL 60657
Phone (205) 427-9243
98 Miller Dr
Ste 103
North Aurora, IL 60542
Phone (630) 506-6615
1211 W 22nd St
Ste 406
Oak Brook, IL 60523
1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500
311 S County Farm Rd
Ste A
Wheaton, IL 60187
Phone (630) 517-9233
Interoperability endpoints
- dong.gue.oh.1@25899.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Rockford, IL
- NPI 1821391442
-
- Psychiatry Physician
- Chicago, IL
- NPI 1861146284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623196800000",
"number": "1952966293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123706",
"telephone_number": "312-942-5375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123706",
"telephone_number": "312-942-5375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "DONG GUE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-02",
"last_updated": "2021-06-09",
"certification_date": "2021-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "125.077578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.