Organization Active NPI

Chung Clinic Inc.

  • General Practice Physician
  • Des Plaines, IL
National Provider Identifier
1992980908
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Jan 8, 2008

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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20080225000576 IL Part B Supplier - Clinic/Group Practice 6901980358 Receives reassigned benefits from 2 practitioners
Practice locations: Des Plaines, IL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.