DR. JACK ROBERT CHULENGARIAN (NPI# 1083615371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083615371 |
Entity Type | Individual |
Full Name | DR. JACK ROBERT CHULENGARIAN |
Credential | DPM |
Practice Address |
1200 N Green Bay Rd Waukegan IL 60085-2246 |
Practice Telephone | 8472493338 |
Mailing Telephone | 8472493338 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2012-04-25 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
016002637 | IL | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | RAILROAD MEDICARE | 480025062 | 01 |
IL | BCBS | 04932042 | 01 |
Street Address |
1200 N GREEN BAY RD |
City | WAUKEGAN |
State | IL |
Zip Code | 60085-2246 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386030625 | Andersonmont | Podiatrist | 1200 N Green Bay Rd, Waukegan, IL 60085-2246 | 2015-04-14 |
1871722918 | Advanced Podiatric Surgical Services LLC | Clinic/Center | 1200 N Green Bay Rd, Waukegan, IL 60085-2246 | 2009-07-10 |
1598925554 | Konjura, PC | Clinic/Center | 1200 N Green Bay Rd, Waukegan, IL 60085-2246 | 2008-06-12 |
1538242458 | Advanced Podiatric Surgery Services | Clinic/Center | 1200 N Green Bay Rd, Waukegan, IL 60085-2246 | 2006-10-23 |
1659454577 | Jack Chulengarian Dpm PC | Podiatrist | 1200 N Green Bay Rd, Waukegan, IL 60085-2246 | 2006-10-23 |
1316949217 | Kathleen Konjura | Physical Therapist | 1200 N Green Bay Rd, Waukegan, IL 60085-2246 | 2005-08-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285285189 | Allison Rose Matuszewski | Speech-Language Pathologist | Robbie M. Lightfoot, 1721 N Mcaree Rd, Waukegan, IL 60085 | 2019-09-23 |
1164985602 | Kristin Kaprak | Speech-Language Pathologist | Thomas Jefferson Middle School, 600 S. Lewis, Waukegan, IL 60085 | 2019-04-11 |
1861972317 | Mitchum Smith | Student in an Organized Health Care Education/Training Program | 2025 Washington Street, Waukegan, IL 60085 | 2018-08-15 |
1447702998 | Rachel Martinez | Registered Nurse | 3002 Grand Ave., Waukegan, IL 60085 | 2016-11-01 |
1831649250 | Kenneth Caples | Specialist/Technologist | 211 S County St, Waukegan, IL 60085 | 2016-10-10 |
1033666490 | Catholic Charities of The Archdiocese of Chicago | Community/Behavioral Health | 671 S. Lewis Ave., Waukegan, IL 60085 | 2016-09-02 |
1285007757 | Michael Moore | Counselor | 1113 Greenwood Ave, Waukegan, IL 60085 | 2015-11-05 |
1740656503 | Emperatriz Guerra | Counselor | 329 N. Genesee Street, Waukegan, IL 60085 | 2015-08-17 |
1992189880 | County of Lake | Clinic/Center | 540 S. Mcalister Ave., Waukegan, IL 60085 | 2015-07-10 |
1922406354 | Ebele Okonkwor | Nurse Anesthetist, Certified Registered | 1324 N. Sheridan, Waukegan, IL 60085 | 2014-12-17 |
Find all providers in zip 60085 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235238155 | David Brian Hiltzik | Podiatrist | 1121 W Greenwood Ave, Waukegan, IL 60087-4919 | 2006-09-21 |
1215043310 | Podomedik LLC | Podiatrist | 2634 Grand Ave Ste 102a, Waukegan, IL 60085-2459 | 2006-08-22 |
1942438759 | Mari Benitez, Dpm, Sc | Podiatrist | 2504 Washington St, Suite 505, Waukegan, IL 60085-4983 | 2009-06-30 |
1073765970 | David B Hiltzik PC | Podiatrist | 1121 W Greenwood Ave, Waukegan, IL 60087-4919 | 2008-10-22 |
1659454577 | Jack Chulengarian Dpm PC | Podiatrist | 1200 N Green Bay Rd, Waukegan, IL 60085-2246 | 2006-10-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154930485 | Mid America Foot & Ankle Specialist Illinois LLC | Podiatrist | 2003 Montgomery Rd Ste 108109, Aurora, IL 60504-9078 | 2020-07-22 |
1265040026 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 4121 Fairview Ave Ste 102, Downers Grove, IL 60515-2266 | 2020-07-17 |
1316563612 | Jacob Tilsley | Podiatrist | 610 S Maple Ave Ste 2250, Oak Park, IL 60304-1093 | 2020-06-22 |
1033738547 | C James Anderson Dpm LLC | Podiatrist | 1000 Eleven S Ste 3a, Columbia, IL 62236-1077 | 2020-04-14 |
1386263895 | C James Anderson Dpm LLC | Podiatrist | 717 Insight Ave Ste 100, O Fallon, IL 62269-2193 | 2020-04-14 |
1821631367 | Dr Christine Heck PC | Podiatrist | 111 N Wabash Ave Ste 1914, Chicago, IL 60602-2968 | 2019-10-28 |
1013562578 | Bishoy Atef Botros | Podiatrist | 820 S Damen Ave Fl 7, Chicago, IL 60612-3728 | 2019-08-01 |
1538623947 | Steven B Overpeck Dpm PC | Podiatrist | 25520 S Pheasant Ln Unit K, Channahon, IL 60410-8808 | 2019-01-30 |
1366916355 | Center for Foot and Ankle Surgery Ltd | Podiatrist | 654 W Veterans Pkwy Ste D, Yorkville, IL 60560-2510 | 2019-01-14 |
1497224950 | Northern Illinois Foot & Ankle Specialists, Ltd | Podiatrist | 1288 S Us Highway 12, Fox Lake, IL 60020-1950 | 2018-11-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.