Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pong Medical Center LLC

Organization Family Medicine Physician · NPI 1871853259

Pong Medical Center LLC provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5151 N Lincoln Ave
Chicago, IL 60625-2520 Not confirmed with CMS for 10 years — call before visiting
Phone: (773) 784-0900
Fax: (773) 784-6173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036048043 (IL)

Record details

NPI number1871853259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suchat Ponglorpisita — Md · (773) 218-9625
NPI enumeratedMay 20, 2012
Last updated in NPPESMay 24, 2016
Mailing address11110 Martindale Dr, Westchester, IL 60154-4920

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