3P4CARE AVONDALE
NPI 1467820001
Family Medicine in Chicago, IL
NPI Status: Active since September 14, 2015
Contact Information
3502 N KEDZIE AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 654-1888
Fax: (773) 754-7412
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 14D2109720
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-28-2026
About 3P4CARE AVONDALE
This page provides the complete NPI Profile along with additional information for 3p4care Avondale, a primary care provider established in Chicago, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1467820001 assigned on September 2015. The practitioner's primary taxonomy code is 207Q00000X with license number 036.094438 (IL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as 3p4care Avondale. The authorized official of this NPI record is Dr. Augustine Wong Md (Director)
- NPI
- 1467820001
- Provider Legal Name
- 3P4CARE (IL) LLC AVONDALE
- Other Organization Name
- 3P4CARE AVONDALE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3502 N KEDZIE AVE CHICAGO, IL 60618
- Location Phone
- (773) 654-1888
- Location Fax
- (773) 754-7412
- Mailing Address
- 3502 N KEDZIE AVE CHICAGO, IL 60618
- Mailing Phone
- (773) 654-1888
- Mailing Fax
- (773) 754-7412
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-14-2015
- Last Update Date
- 09-14-2015
- Code Navigator
A primary care provider (PCP) like 3p4care Avondale sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036.094438
- License State
- IL
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- MyBlue Plus Bronze? 903 - POS
- MyBlue Plus Bronze? 912 - POS
- MyBlue Plus Bronze? Standard - Select Rx Copays - POS
- MyBlue Plus Gold? 909 - POS
- MyBlue Plus Gold? 910 - POS
- MyBlue Plus Gold? Standard - Rx Copays - POS
- MyBlue Plus Silver? 905 - POS
- MyBlue Plus Silver? 906 - POS
- MyBlue Plus Silver? Standard - Select Rx Copays - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2109720
- Facility Type
- Physician Office
- Certificate Effective Date
- March 01, 2024
- Certificate Expiration Date
- February 28, 2026
- Laboratory Director
- CHU KWAN AUGUSTINE WONG
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 3p4care Avondale to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 6 | 7 | 8 | 2 | 0 | 0 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 12 | 7 | 16 | 2 | 0 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 2 + 7 + 1 + 6 + 2 + 0 + 0 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1467820001 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1205885688 | DR. AUGUSTINE CHU-KWAN WONG MD Individual | Family Medicine | 3502 N KEDZIE AVE CHICAGO, IL 60618 (773) 654-1888 |
| 1962498170 | HENSON CHU MD Individual | Family Medicine | 3502 N KEDZIE AVE CHICAGO, IL 60618 (773) 299-8249 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467820001, enumerated in the NPI registry as an "organization" on September 14, 2015
The provider is located at 3502 N Kedzie Ave Chicago, Il 60618 and the phone number is (773) 654-1888
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois and Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D2109720 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 14, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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