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THIDAPORN IAMSUTTA QMHP
NPI 1972001709
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since January 26, 2018
4753 N BROADWAY ST STE 700, CHICAGO, IL 60640(773) 293-8430(773) 728-4751 Get Directions Write a Review

NPPES record last updated: January 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thidaporn Iamsutta Qmhp NPPES

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

THIDAPORN IAMSUTTA QMHP (NPI 1972001709) is an individual mental health (including community mental health center) provider in Chicago, Illinois and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1972001709
Entity TypeIndividualFemale
Primary Taxonomy261QM0801X
Provider Legal NameTHIDAPORN IAMSUTTACredential: QMHP
Location Address4753 N BROADWAY ST STE 700Chicago, IL 60640-4995
Mailing Address4753 N Broadway St Ste 700Chicago, IL 60640-4995 · (773) 293-8430 · Fax (773) 728-4751
Phone(773) 293-8430
Fax(773) 728-4751
Sole ProprietorYes
Enumeration DateJanuary 26, 2018
✔ NPI 1972001709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4753 N BROADWAY ST STE 700, Chicago, IL 60640
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Other Providers at the Same Location NPPES 13

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

FALGUNI A SHAH M.ED, LCPC
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640
Cook County (773) 293-8461
SARINA SOEUN MHP
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640
Cook County (773) 293-8430
NANA A AHMED QMHP
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640
Cook County (773) 293-8430
TAMMY DANG MHP
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640
Cook County (773) 293-8430
ANUM KASIM
Counselor (Mental Health)
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640
Cook County (773) 293-8447
PEI SHAN YU
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640
Cook County (773) 293-8476
STEPHEN AN
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640
Cook County (773) 293-8400
MR. PINGYIP LAM
Clinic/Center (Mental Health (Including Community Mental Health Center))
4753 N BROADWAY ST STE 700
CHICAGO, IL 60640
Cook County (773) 293-8456

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 Thidaporn Iamsutta's NPI number?

The NPI number for Thidaporn Iamsutta is 1972001709. It was assigned to this individual provider in the NPPES registry on January 26, 2018.

Where is Thidaporn Iamsutta located?

Thidaporn Iamsutta practices at 4753 N Broadway St Ste 700, Chicago, IL 60640. The listed phone number is (773) 293-8430.

What is Thidaporn Iamsutta's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Thidaporn Iamsutta was last updated on January 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.