LIAUW DEVI GUNAWAN NURSE PRACTITIONER
NPI 1992289599
Nurse Practitioner - Family in Chicago, IL
About Liauw Devi Gunawan Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIAUW DEVI GUNAWAN NURSE PRACTITIONER (NPI 1992289599) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.017128) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liauw Devi Gunawan Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60647 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60647
CHICAGO, IL 60647
CHICAGO, IL 60647
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 Liauw Devi Gunawan's NPI number?
The NPI number for Liauw Devi Gunawan is 1992289599. It was assigned to this individual provider in the NPPES registry on September 19, 2018.
Where is Liauw Devi Gunawan located?
Liauw Devi Gunawan practices at 3412 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 235-8000.
What is Liauw Devi Gunawan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Liauw Devi Gunawan enrolled in Medicare?
Yes. Liauw Devi Gunawan is registered in the Medicare PECOS enrollment system.
What insurance does Liauw Devi Gunawan accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Liauw Devi Gunawan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Liauw Devi Gunawan was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Liauw Devi Gunawan, NURSE PRACTITIONER · NPI 1992289599
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since September 19, 2018.
## Identity
- **NPI:** 1992289599 (Entity type: Individual)
- **Enumerated:** September 19, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.017128 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3412 W FULLERTON AVE, Chicago, IL 60647-2416
- **Phone:** (773) 235-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1992289599) · Data from the CMS NPPES public registry.