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Dr. Pong Laiteerapong, MD
General Practice Physician in Chicago, Illinois
NPI 1942545520

Pong Laiteerapong is a General Practice Physician based in Chicago, IL. Pong Laiteerapong practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Pong Laiteerapong is 1942545520 and holds a License No. O36.053201 (Illinois).

The current practice location address for Pong Laiteerapong is 140 N Ashland Ave, Chicago, IL and can be reached out via phone at 312-850-9411.

Location: 140 N Ashland Ave, Chicago, IL, 60607-1802
person
Provider Profile Details
NPI Number
1942545520
Provider Name
Pong Laiteerapong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
140 N Ashland Ave, Chicago, IL, 60607-1802
Phone Number
312-850-9411
Fax Number
Provider Enumeration Date
12/07/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 N Ashland Ave
City
State
Zip
60607
Phone Number
312-850-9411
Fax Number
person
Provider Business Mailing Address Details
Address
140 N Ashland Ave
City
State
Zip
60607
Phone Number
312-850-9411
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
O36.053201 (Illinois)
Definition
Definition to come...
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