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DR. SUPACHAI S PONGCHED M.D.
NPI 1700915063
Obstetrics & Gynecology in Chicago, IL

Active since March 05, 2007
11416 S MICHIGAN AVE, CHICAGO, IL 60628(773) 660-8515(630) 455-9633 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Supachai S Pongched M.d. NPPES

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

DR. SUPACHAI S PONGCHED M.D. (NPI 1700915063) is an individual obstetrics & gynecology provider in Chicago, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1700915063
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SUPACHAI S PONGCHEDCredential: M.D.
Location Address11416 S MICHIGAN AVEChicago, IL 60628-4932
Mailing Address17315 University AveSouth Holland, IL 60473-3553 · (708) 596-2445 · Fax (630) 455-9633
Phone(773) 660-8515
Fax(630) 455-9633
Sole ProprietorYes
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700915063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11416 S MICHIGAN AVE, Chicago, IL 60628
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Other Names 1

Former Name (1)Dr. Supachai Suwatanapongched M.d.

Other Identifiers 2

Medicare UPIND12390IL
OtherAP5130543IL · D.e.a.

Other Providers at the Same Location NPPES 3

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

S PONGCHED MD LTD
Obstetrics & Gynecology
11416 S MICHIGAN AVE
CHICAGO, IL 60628
Cook County (773) 660-8515
CHUN TONG CHEN M.D.
Family Medicine
11416 S MICHIGAN AVE
CHICAGO, IL 60628
Cook County (773) 821-1414
TAKAYLA WILLIAMS DO TAKAYLA WILLIAMS
Internal Medicine
11416 S MICHIGAN AVE
CHICAGO, IL 60628
Cook County (773) 821-1414

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supachai Pongched's NPI number?

The NPI number for Supachai Pongched is 1700915063. It was assigned to this individual provider in the NPPES registry on March 5, 2007. The provider is also known as Dr. Supachai Suwatanapongched M.D..

Where is Supachai Pongched located?

Supachai Pongched practices at 11416 S Michigan Ave, Chicago, IL 60628. The listed phone number is (773) 660-8515.

What is Supachai Pongched's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Supachai Pongched was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.