Active NPI
Calvin C Chiu, MD
- Obstetrics & Gynecology Physician
- Mount Vernon, IL
National Provider Identifier
1972503423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Practice address
- 2413 Broadway St
Mount Vernon, IL 62864-2917 - Phone
- (618) 244-6170
- Fax
- (618) 244-7445
- NPI assigned
- Jul 27, 2005
- Reactivated
- Mar 27, 2006
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | IL | Primary |
Addresses
Primary practice location
2413 Broadway St
Mount Vernon, IL 62864-2917
Mailing address
2413 Broadway St
Mount Vernon, IL 62864-2917
Phone (618) 244-6170
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113672 | Other | IL | HEALTHLINK |
| L013912 | Other | IL | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036070237 | IL | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1972503423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 BROADWAY ST",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642917",
"telephone_number": "618-244-6170",
"fax_number": "618-244-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 BROADWAY ST",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628642917",
"telephone_number": "618-244-6170",
"fax_number": "618-244-7445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIU",
"first_name": "CALVIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-27",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "113672",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "L013912",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Vernon, IL
- Ismat Cheema, DO
- Henry H Chen, M.D.
- Cheryl Emmons MDSC
- Megan Sarah Chillson, OTR/L
- Chiropractic Wellness Center of Mt Vernon, LLC.
- Choices Counseling, Inc.
- James C Chow, M.D.
- Christian Counseling and Family Services
- Christian Social Services of Illinois
- Christopher Greater Area Rural Health Planning Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.