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3P4CARE (IL) LLC AVONDALE
NPI 1467820001
Family Medicine in Chicago, IL

Active since September 14, 2015CLIA 14D2109720 · Waiver
3502 N KEDZIE AVE, CHICAGO, IL 60618(773) 654-1888(773) 754-7412 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About 3p4care (il) Llc Avondale NPPES

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

3P4CARE (IL) LLC AVONDALE (NPI 1467820001), doing business as 3p4care Avondale, is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Augustine Chu-kwan Wong, Director, as its authorized official.

NPPES Registry Identity

NPI1467820001
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name3P4CARE (IL) LLC AVONDALE
Location Address3502 N KEDZIE AVEChicago, IL 60618-5622
Mailing Address3502 N Kedzie AveChicago, IL 60618-5622 · (773) 654-1888 · Fax (773) 754-7412
Phone(773) 654-1888
Fax(773) 754-7412
Organization SubpartYesParent: 3p4care (il) Llc
Authorized OfficialAugustine Chu-kwan WongDirector · (773) 654-1888
Enumeration DateSeptember 14, 2015
Last NPPES UpdateNovember 13, 2025
NPPES CertifiedNovember 13, 2025
✔ NPI 1467820001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036.094438
Definition
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.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
3502 N KEDZIE AVE, Chicago, IL 60618
Open in Google Maps ↗

Other Names 1

Doing Business As3p4care Avondale

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

3p4care (il) Llc Avondale is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to 3p4care (il) LLC Avondale, which bills Medicare for the services this clinician delivers.

Clinician (1)

Augustine Wong, MD
Family Practice
NPI 1205885688
3502 N KEDZIE AVE
Chicago, IL 60618
(773) 654-1888
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2109720

3p4care (il) LLC Avondale · Chicago, IL
Active · expires Feb 29, 2028
CLIA Number14D2109720
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorChu Kwan Augustine Wong
Laboratory Phone(773) 654-1888
Laboratory Location3p4care (il) LLC Avondale3502 N Kedzie Ave, Chicago, IL 60618
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 3p4care (il) LLC Avondale's NPI number?

The NPI number for 3p4care (il) LLC Avondale is 1467820001. It was assigned to this organization in the NPPES registry on September 14, 2015. The provider is doing business as 3P4Care Avondale.

Where is 3p4care (il) LLC Avondale located?

3p4care (il) LLC Avondale is located at 3502 N Kedzie Ave, Chicago, IL 60618. The listed phone number is (773) 654-1888.

What is 3p4care (il) LLC Avondale's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is 3p4care (il) LLC Avondale enrolled in Medicare?

Yes. 3p4care (il) LLC Avondale is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 3p4care (il) LLC Avondale?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to 3p4care (il) LLC Avondale. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does 3p4care (il) LLC Avondale hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2109720) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 3p4care (il) LLC Avondale was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.