Chung Clinic Inc. is a medicare enrolled "General Practice" provider in Des Plaines, Illinois. Their current practice location is
9820 Milwaukee Ave # C&d, Des Plaines, Illinois. You can reach out to their office (for appointments etc.) via phone at
(847) 296-1004.
Chung Clinic Inc. is licensed to practice in Illinois (license number ) and it also participates in the medicare program. Chung Clinic Inc.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1992980908.
Healthcare Provider's Profile
| Full Name | Chung Clinic Inc. |
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| Type | Facility |
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| Speciality | General Practice |
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| Location | 9820 Milwaukee Ave # C&d, Des Plaines, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992980908
- Provider Enumeration Date: 01/08/2008
- Last Update Date: 01/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 6901980358
- Enrollment ID: O20080225000576
Medical Identifiers
Medical identifiers for Chung Clinic Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992980908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (Illinois) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Chung Clinic Inc. acts as a billing entity for following providers:
| Provider Name | Douglas Chung |
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| Provider Type | Practitioner - Chiropractic |
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| Provider Identifiers | NPI Number: 1437220902
PECOS PAC ID: 2769406875
Enrollment ID: I20060117000317 |
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| Provider Name | Maryrose Guevara |
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| Provider Type | Practitioner - Physical Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1033658356
PECOS PAC ID: 5799062428
Enrollment ID: I20170508000877 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chung Clinic Inc. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Chung Clinic Inc.
9820 Milwaukee Ave # C&d,
Des Plaines, IL 60016-1805
Ph: () - | Chung Clinic Inc.
9820 Milwaukee Ave # C&d,
Des Plaines, IL 60016-1805
Ph: (847) 296-1004 |
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