Search › Illinois › 207V00000X
Supachai Pongched, M.D
NPI 1700915063 · on the registry since 2007 · sole proprietor
Practice
- Address
- 11416 S Michigan Ave
Chicago, IL 60628 - Phone
- (773) 660-8515
- Fax
- (630) 455-9633
- Organisation at this address
- S Pongched Md Ltd
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois