CHINESE PROVIDER GROUP OF ILLINOIS PLLC
NPI 1023894557
General Practice in Bourbonnais, IL
About Chinese Provider Group Of Illinois Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHINESE PROVIDER GROUP OF ILLINOIS PLLC (NPI 1023894557) is a healthcare organization registered as a general practice in Bourbonnais, Illinois and active in the NPI registry since August 2023. The organization lists Ming Xu, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Chinese Provider Group Of Illinois Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Chinese Provider Group Of Illinois PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chinese Provider Group Of Illinois PLLC's NPI number?
The NPI number for Chinese Provider Group Of Illinois PLLC is 1023894557. It was assigned to this organization in the NPPES registry on August 31, 2023.
Where is Chinese Provider Group Of Illinois PLLC located?
Chinese Provider Group Of Illinois PLLC is located at 201 Park Pl Ste 2, Bourbonnais, IL 60914. The listed phone number is (833) 308-8876.
What is Chinese Provider Group Of Illinois PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Chinese Provider Group Of Illinois PLLC enrolled in Medicare?
Yes. Chinese Provider Group Of Illinois PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Chinese Provider Group Of Illinois PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Psychiatry, reassign their Medicare billing to Chinese Provider Group Of Illinois PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Chinese Provider Group Of Illinois PLLC was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Chinese Provider Group Of Illinois Pllc · NPI 1023894557
General Practice organization in Bourbonnais, Illinois. Organization record, active in the CMS NPPES registry since August 31, 2023.
## Identity
- **NPI:** 1023894557 (Entity type: Organization)
- **Enumerated:** August 31, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Ming Xu, PRESIDENT
## Practice location
- **Address:** 201 PARK PL STE 2, Bourbonnais, IL 60914-1883
- **Phone:** (833) 308-8876
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Psychiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1023894557) · Data from the CMS NPPES public registry.