DR. JACK ROBERT CHULENGARIAN


Address: 1200 N Green Bay Rd, Waukegan, IL 60085-2246
Phone: 8472493338

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
016002637 IL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD MEDICARE 480025062 01
IL BCBS 04932042 01

Office Location

Street Address 1200 N GREEN BAY RD
City WAUKEGAN
State IL
Zip Code 60085-2246

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City WAUKEGAN
Zip Code 60085

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Dataset Information

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.

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