| Dr Supachai S Pongched, MD | |
|
11416 S Michigan Ave, Chicago, IL 60628-4932 | |
| (773) 660-8515 | |
| (630) 455-9633 |
| Full Name | Dr Supachai S Pongched |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 11416 S Michigan Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700915063 | NPI | - | NPPES |
| AP5130543 | Other | IL | D.E.A. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Supachai S Pongched, MD 17315 University Ave, South Holland, IL 60473-3553 Ph: (708) 596-2445 | Dr Supachai S Pongched, MD 11416 S Michigan Ave, Chicago, IL 60628-4932 Ph: (773) 660-8515 |
Elizabeth Isak, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-8811 Fax: 312-926-8855 | |
Malavika Kalyani Perinchery, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc2050, Chicago, IL 60637 Phone: 773-834-0598 | |
Margaret C Schermerhorn, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Maria Teresa Tam, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 2845 N Sheridan Rd, Ste 902, Chicago, IL 60657 Phone: 773-904-8641 Fax: 872-888-1206 | |
Mr. Clyde Harris Lawson, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 8234 S. Ashland Avenue, Chicago, IL 60620 Phone: 773-874-1400 Fax: 773-874-9245 | |
Rebekah Osgood, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr Ste 810, Chicago, IL 60611 Phone: 312-926-3627 Fax: 312-587-9802 | |
Dr. Sarah Hoque, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 |