DR. JACK ROBERT CHULENGARIAN DPM
NPI 1083615371
Podiatrist - Foot & Ankle Surgery in Waukegan, IL

Active since August 09, 2005
1200 N GREEN BAY RD, WAUKEGAN, IL 60085(847) 249-3338 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Robert Chulengarian Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK ROBERT CHULENGARIAN DPM (NPI 1083615371) is an individual foot & ankle surgery provider in Waukegan, Illinois, licensed in Illinois (016002637) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1083615371
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JACK ROBERT CHULENGARIANCredential: DPM
Location Address1200 N GREEN BAY RDWaukegan, IL 60085-2246
Mailing Address1200 N Green Bay RdWaukegan, IL 60085-2246 · (847) 249-3338
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateApril 25, 2012
NPI 1083615371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in IL · 016002637
1200 N GREEN BAY RD, Waukegan, IL 60085

Other Identifiers 4

Medicare UPINT36191IL
Medicare PINL22701IL
Other04932042IL · Bcbs
Other480025062IL · Railroad Medicare

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1200 N GREEN BAY RD
WAUKEGAN, IL 60085
Podiatrist
1200 N GREEN BAY RD
WAUKEGAN, IL 60085
Clinic/Center (Ambulatory Surgical)
1200 N GREEN BAY RD
WAUKEGAN, IL 60085
Clinic/Center (Physical Therapy)
1200 N GREEN BAY RD
WAUKEGAN, IL 60085
Podiatrist (Foot & Ankle Surgery)
1200 N GREEN BAY RD
WAUKEGAN, IL 60085
Clinic/Center (Ambulatory Surgical)
1200 N GREEN BAY RD
WAUKEGAN, IL 60085

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 Jack Chulengarian's NPI number?

The NPI number for Jack Chulengarian is 1083615371. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Jack Chulengarian located?

Jack Chulengarian practices at 1200 N Green Bay Rd, Waukegan, IL 60085. The listed phone number is (847) 249-3338.

What is Jack Chulengarian's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

When was this NPI record last updated?

The NPPES record for Jack Chulengarian was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.