JUAN CHEDIAK MD
NPI 1477795839
Specialist in Chicago, IL

Active since April 01, 2009
3000 N HALSTED ST, SUITE 600, CHICAGO, IL 60657(773) 868-0380(773) 868-0382 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Juan Chediak Md NPPES

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

JUAN CHEDIAK MD (NPI 1477795839) is a healthcare organization registered as a specialist in Chicago, Illinois and active in the NPI registry since April 2009. The organization lists Elizabeth Brundage, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1477795839
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJUAN CHEDIAK MD
Location Address3000 N HALSTED ST, SUITE 600Chicago, IL 60657-5188
Mailing Address3000 N Halsted St, Suite 600Chicago, IL 60657-5188 · (773) 868-0380 · Fax (773) 868-0382
Fax(773) 868-0382
Organization SubpartNo
Authorized OfficialElizabeth BrundagePractice Manager · (708) 366-7177
Enumeration DateApril 1, 2009
NPI 1477795839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 036-048665
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3000 N HALSTED ST, Chicago, IL 60657

Other Identifiers 4

Medicaid036048665IL
Medicare UPIND13172IL
Other363965106IL · Blue Cross Blue Shield Illinois
Other213425IL · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Surgery
3000 N HALSTED ST, SUITE 500
CHICAGO, IL 60657
Genetic Counselor, MS
3000 N HALSTED ST
CHICAGO, IL 60657
Podiatrist
3000 N HALSTED ST, SUITE 821
CHICAGO, IL 60657
Obstetrics & Gynecology (Gynecology)
3000 N HALSTED ST, SUITE 625
CHICAGO, IL 60657
Internal Medicine
3000 N HALSTED ST, SUITE 509
CHICAGO, IL 60657
Physician Assistant
3000 N HALSTED ST, SUITE 320
CHICAGO, IL 60657
Obstetrics & Gynecology
3000 N HALSTED ST
CHICAGO, IL 60657
Anesthesiology (Pain Medicine)
3000 N HALSTED ST
CHICAGO, IL 60657

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 Juan Chediak MD's NPI number?

The NPI number for Juan Chediak MD is 1477795839. It was assigned to this organization in the NPPES registry on April 1, 2009.

Where is Juan Chediak MD located?

Juan Chediak MD is located at 3000 N Halsted St Suite 600, Chicago, IL 60657. The listed phone number is (773) 868-0380.

What is Juan Chediak MD's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Juan Chediak MD was last updated on April 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.