PONG LAITEERAPONG M.D. – NPI #1942545520
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PONG LAITEERAPONG is a physician located in CHICAGO, IL. NPPES has assigned the NPI number 1942545520 to PONG LAITEERAPONG on December 07, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PONG LAITEERAPONG below.

NPI Profile for
PONG LAITEERAPONG

NPI Number
1942545520
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PONG LAITEERAPONG
Credentials
M.D.
Primary location
140 N ASHLAND AVE
CHICAGO, IL 60607
Phone: (312) 850-9411 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
IL O36.053201

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.