PONG MEDICAL CENTER LLC

CHICAGO, IL
NPI1871853259
Entity TypeOrganization
Authorized ContactSUCHAT PONGLORPISITA
Md
773-218-9625
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036048043)
Enumeration Date2012-05-20
Last Update Date2016-05-24
Business Address
PONG MEDICAL CENTER LLC
5151 N LINCOLN AVE
CHICAGO, IL 60625-2520
Phone number: 773-784-0900
Mailing Address
PONG MEDICAL CENTER LLC
11110 MARTINDALE DR
WESTCHESTER, IL 60154-4920
Phone number: 773-218-9625
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