Active NPI
Chung Clinic Inc.
- General Practice Physician
- Des Plaines, IL
National Provider Identifier
1992980908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- CHUNG CLINIC INC.
- Practice address
- 9820 Milwaukee Ave # C&D
Des Plaines, IL 60016-1805 - Phone
- (847) 296-1004
- NPI assigned
- Jan 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Douglas (Duk) Chung
- Title
- President
- Phone
- (847) 296-1004
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| General Practice Physician | 208D00000X | IL | Primary |
Addresses
Primary practice location
9820 Milwaukee Ave # C&D
Des Plaines, IL 60016-1805
Mailing address
9820 Milwaukee Ave # C&D
Des Plaines, IL 60016-1805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9820 Milwaukee Ave
Ste C
Des Plaines, IL 60016
Phone (847) 213-9003
9820 Milwaukee Ave
Ste D
Des Plaines, IL 60016
Phone (847) 296-1004
9820 Milwaukee Ave
Ste Cd
Des Plaines, IL 60016
Phone (847) 296-1004
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Des Plaines, IL
- NPI 1437220902
-
- Orthopedic Physical Therapist
- Chicago, IL
- NPI 1033658356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1992980908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9820 MILWAUKEE AVE # C&D",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9820 MILWAUKEE AVE # C&D",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600161805",
"telephone_number": "847-296-1004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHUNG CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "CHUNG",
"authorized_official_first_name": "DOUGLAS (DUK)",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-296-1004"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.