Look up the most recent NPI and PECOS records

Andrew Chiang

Radiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Andrew Chiang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1174787220
Provider Type
Individual
Full Name
Chiang, Andrew
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
7/17/2008
Last Updated
6/18/2013

Contact Information

Practice Location

2160 S 1st Ave, Maywood, IL 60153-3328

(708) 216-9000

Unlisted Fax

Mailing Location

2160 S 1st Ave, Maywood, IL 60153-3328

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 036.132851 Illinois
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License A99624 California

Andrew Chiang

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Brooks, Cynthia K

Gjeluci, Albert

Mosenthal, Mckenzie

Beg, Usman

Powers, Jeffrey Kapler

Fu, John

Chen, William Jason

Lowery, Emily Diane

Farag, Mitchell

Ibanez, Kent E.