Individual provider · Type 1 NPI

Pong Laiteerapong, MD

General Practice Physician · Chicago, IL

NPI number 1942545520 Active

Practice location

140 N Ashland Ave
Chicago, IL 60607

Call (312) 850-9411 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XO36.053201 (IL)

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

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About NPI 1942545520

Pong Laiteerapong, MD's National Provider Identifier is 1942545520, issued on Dec 7, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 7, 2012.