Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1942545520 Individual Practitioner Male Practitioner

Dr. Pong Laiteerapong , MD

General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Pong Laiteerapong, MD is a registered healthcare professional specializing in General Practice in Chicago, IL. Practice services are available at 140 N ASHLAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

140 N Ashland Ave

Chicago, IL 60607

Telephone 3128509411
Associated Practice Facility / Clinic
🏢 Caritas Facility NPI 1235307158

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.3 Yrs
State Avg: 30.9 Yrs
Regional Practice Density
109 Specialists

Practicing in Chicago, IL (355 Statewide)

Telehealth Adoption Rate
2.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License IL O36.053201

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1164998118

LPN(LICENSEDPRACTI

Cheryl Brown , LPN (LICENSED PRACTI

Licensed Practical Nurse

NPI 1861965097

LPN(LICENSEDPRACTI

NPI 1922573450

LPN(LICENSEDPRACTI

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 07, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2012

Registered at 140 N ASHLAND AVE, CHICAGO, IL 60607 (Tel: 3128509411)

📍
Updated Business Mailing Address December 07, 2012

Registered at 140 N ASHLAND AVE, CHICAGO, IL 606071802 (Tel: 3128509411)

👤
Provider Name / Credentials Updated December 07, 2012

Recorded as PONG LAITEERAPONG, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2012

General Practice (License #O36.053201 in IL)

🟢
Initial NPI Registration & Enumeration December 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942545520
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2012
Last Update: December 07, 2012
Sole Proprietor: Yes

Mailing Address

140 N Ashland Ave

Chicago, IL 606071802

Phone: 3128509411

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.