Suchat Ponglorpisita (NPI# 1255528899, PAC ID# 2062541816) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1255528899 |
| PAC ID by PECOS | 2062541816 |
| Professional Enrollment ID | I20100603000741 |
| Full Name | Suchat Ponglorpisita |
| Organization Legal Name | PONG MEDICAL CENTER LLC |
| Address |
5151 N Lincoln Ave Chicago IL 60625-2520 |
| Phone Number | 7737840900 |
| Gender | M |
| Graduation Year | 1966 |
| Primary Specialty | FAMILY PRACTICE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1557582814 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140115 | THOREK MEMORIAL HOSPITAL |
| 140114 | SWEDISH COVENANT HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5151 N Lincoln Ave, Chicago, IL 60625-2520 | 7737840900 | PONG MEDICAL CENTER LLC |
| 850 W Irving Park Rd, Chicago, IL 60613-3077 | 7735256780 | THOREK MEMORIAL HOSPITAL |
| Organization Legal Name | PONG MEDICAL CENTER LLC |
| Physicians | 1 |
| Street Address |
5151 N LINCOLN AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60625-2520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Birte Wolff | Obstetrics/gynecology | Swedish Covenant Management Services, Inc. | 5140 N California, Suite 605, Chicago, IL 60625 |
| Jennifer A Spanier-stiasny | Gastroenterology | Swedish Covenant Management Services, Inc. | 5140 N California, Suite 605, Chicago, IL 60625 |
| Kavita Singh | Gastroenterology | Swedish Covenant Management Services, Inc. | 5140 N California, Suite 605, Chicago, IL 60625 |
| Eduardo J Villa | Internal Medicine | Swedish Covenant Management Services, Inc. | 5140 N California, Suite 605, Chicago, IL 60625 |
| Yelena Kalugina | Pathology | Sch Laboratory Physicians Sc | 5145 N Calfornia Ave, Chicago, IL 60625-0051 |
| Perry Guariglia | Pathology | Sch Laboratory Physicians Sc | 5145 N Calfornia Ave, Chicago, IL 60625-0051 |
| Loren D Dardi | Pathology | Sch Laboratory Physicians Sc | 5145 N Calfornia Ave, Chicago, IL 60625-0051 |
| Kara Mulligan | Physician Assistant | Conventions Psychiatry and Counseling, P.C. | 2055 W Balmoral Ave, Chicago, IL 60625-1001 |
| Kenneth A Fils | Psychologist, Clinical | Davken Associates, P.C. | 2055 W Balmoral Ave, Chicago, IL 60625-1001 |
| Treva B Anderson | Psychologist, Clinical | Davken Associates, P.C. | 2055 W Balmoral Ave, Chicago, IL 60625-1001 |
| Find all physicians in zip 60625 | |||
| City | CHICAGO |
| Zip Code | 60625 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | CHICAGO + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Suchat Ponglorpisita.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.