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DR. PONG LAITEERAPONG M.D.
NPI 1942545520
General Practice in Chicago, IL

Active since December 07, 2012
140 N ASHLAND AVE, CHICAGO, IL 60607(312) 850-9411 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pong Laiteerapong M.d. NPPES

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

DR. PONG LAITEERAPONG M.D. (NPI 1942545520) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (O36.053201) and active in the NPI registry since December 2012.

NPPES Registry Identity

NPI1942545520
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. PONG LAITEERAPONGCredential: M.D.
Location Address140 N ASHLAND AVEChicago, IL 60607
Mailing Address140 N Ashland AveChicago, IL 60607-1802 · (312) 850-9411
Phone(312) 850-9411
Sole ProprietorYes
Enumeration DateDecember 7, 2012
✔ NPI 1942545520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · O36.053201
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
140 N ASHLAND AVE, Chicago, IL 60607
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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.

CARITAS
Clinic/Center (Mental Health (Including Community Mental Health Center))
140 N ASHLAND AVE
CHICAGO, IL 60607
Cook County (312) 850-0050
GWENDOLYN MAXWELL CADC
Counselor (Addiction (Substance Use Disorder))
140 N ASHLAND AVE
CHICAGO, IL 60607
Cook County (312) 850-0050
DENISE MARIE STACY CADC
Counselor (Addiction (Substance Use Disorder))
140 N ASHLAND AVE
CHICAGO, IL 60607
Cook County (312) 850-0050
HARRIETT ADELE CAIN R.N.
Registered Nurse (Addiction (Substance Use Disorder))
140 N ASHLAND AVE
CHICAGO, IL 60607
Cook County (312) 633-4977
CARITAS
Clinic/Center (Mental Health (Including Community Mental Health Center))
140 N ASHLAND AVE
CHICAGO, IL 60607
Cook County (312) 850-9411
MARILYN WRIGHT WADE CADC, MISA I
Counselor (Addiction (Substance Use Disorder))
140 N ASHLAND AVE
CHICAGO, IL 60607
Cook County (312) 633-4383
DR. GLORIA J MOUZON M.D.
Family Medicine (Addiction Medicine)
140 N ASHLAND AVE
CHICAGO, IL 60607
Cook County (312) 850-0050
CARITAS
Community/Behavioral Health
140 N ASHLAND AVE
CHICAGO, IL 60607
Cook County (312) 850-9411

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 Pong Laiteerapong's NPI number?

The NPI number for Pong Laiteerapong is 1942545520. It was assigned to this individual provider in the NPPES registry on December 7, 2012.

Where is Pong Laiteerapong located?

Pong Laiteerapong practices at 140 N Ashland Ave, Chicago, IL 60607. The listed phone number is (312) 850-9411.

What is Pong Laiteerapong's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Pong Laiteerapong was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.