SUPACHAI S PONGCHED

CHICAGO, IL
NPI1700915063
Former NameSUPACHAI SUWATANAPONGCHED
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: IL  036045385)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
Dr. SUPACHAI S PONGCHED M.D.
11416 S MICHIGAN AVE
CHICAGO, IL 60628-4932
Phone number: 773-660-8515
Mailing Address
Dr. SUPACHAI S PONGCHED M.D.
17315 UNIVERSITY AVE
SOUTH HOLLAND, IL 60473-3553
Phone number: 708-596-2445
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