Peter Chung, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.031610 Issued in IL

Practice address

725 Prestwick LN
Wheeling, IL 60090-6234

Phone

(847) 951-4960

NPI assigned

Jun 6, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peter Chung Dental DMD LTD

  • Dental Clinic/Center
  • Lindenhurst, IL
  • NPI 1649008616
  NPD Authorized official

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1992297790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 PRESTWICK LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906234",
            "telephone_number": "847-951-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 PRESTWICK LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906234",
            "telephone_number": "847-951-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUNG",
        "first_name": "PETER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Choe
• Jessica Choi, MS, RD, LDN
• Melissa Chow
• Chun Am Corporation
• Byung Kwan Chun, DC
• Clear Sight Vision PC
• Kim Cline
• Jamie Cohen
• Community Consolidated School District 21
• Comprehensive Womens Center

• All providers in Wheeling, IL
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.