CHALONGCHAI PHITSANUWONG
NPI 1245484740
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Chicago, IL

Q: What is Chalongchai Phitsanuwong's NPI number?

The NPI number for Chalongchai Phitsanuwong is 1245484740. It was assigned to this individual provider in the NPPES registry on November 11, 2008.

Q: What is Chalongchai Phitsanuwong's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Active since November 11, 2008PECOS Enrolled

5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Apr 18, 2022 (3 updates tracked since 2022).

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About Chalongchai Phitsanuwong NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHALONGCHAI PHITSANUWONG (NPI 1245484740) is an individual neurology with special qualifications in child neurology provider in Chicago, Illinois, licensed in Illinois (036135162) and active in the NPI registry since November 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245484740

Entity TypeIndividualMale

Primary Taxonomy2084N0402X

Provider Legal NameCHALONGCHAI PHITSANUWONG

Location Address5841 S MARYLAND AVEChicago, IL 60637-1443

Mailing Address150 Harvester Dr, Suite 300Burr Ridge, IL 60527-5919

Phone(888) 824-0200

Sole ProprietorNo

Enumeration DateNovember 11, 2008

Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration

✔ NPI 1245484740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0402X

License✔ Licensed in IL · 036135162

Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

5841 S MARYLAND AVE, Chicago, IL 60637

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chalongchai Phitsanuwong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DON MARTINEZ M.D.

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