Laiteerapong, Pong

Laiteerapong, Pong is an sole proprietor health care provider with primary practice located at 140 N Ashland Ave , Chicago IL 60607. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Laiteerapong, Pong can be contacted via phone (312) 850-9411.

Contact Information

Primary practice address
140 N Ashland Ave Chicago IL 60607
Phone: (312) 850-9411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X O36.053201 Illinois

Profile Details

NPI number 1942545520
LBN Legal business name Laiteerapong, Pong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2012
Last updated Dec 7th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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