MS. BONNIE TSE (M.D.) – Internal Medicine Physician, NPI 1316180102
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,037 FAMILY PRACTICE in IL
Provider Addresses for MS. BONNIE TSE (M.D.)
4177 S Archer Ave
Chicago, IL 606321849
Phone: (773) 254-2222
Fax: (773) 254-8444
Type: Location
PO BOX 746715
ATLANTA, GA 303746715
Phone: (773) 352-1515
Fax: (312) 929-0373
Type: Mailing
1355, Remington Road, Schaumburg, Schaumburg Township, Cook County, Illinois, 60173, United States
STE H
SCHAUMBURG, IL 601734818
Phone: (708) 429-7039
Fax: (708) 429-7039
Type: Mailing
4177-4197, South Archer Avenue, Brighton Park, Chicago, Lake Township, Cook County, Illinois, 60632, United States
CHICAGO, IL 606321849
Phone: (773) 254-2222
Fax: (773) 254-8444
Type: Location
2335 S WENTWORTH AVE STE B
CHICAGO, IL 606160117
Phone: (312) 566-4545
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1013 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120822000033 | I | Family Practice | IL | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60632)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P O D I A T R Y | IL | |
| - | IL | |
| Clinical Social Worker | IL | |
| - | PA | |
| - | IL | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | IL | |
| Family Practice | IN | |
| - | IL |
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