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Active NPI 1548424229 Individual Practitioner Female Practitioner

Dr. Montha Suphangul , MD

Internal Medicine • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Dr. Montha Suphangul, MD is a registered healthcare professional specializing in Internal Medicine in Evanston, IL. Practice services are available at 355 RIDGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

355 Ridge Ave

Evanston, IL 602023328

Telephone 8473164000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
180 Specialists

Practicing in Evanston, IL (7544 Statewide)

Telehealth Adoption Rate
14.4% 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

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 125052160

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bluecross Blueshield Ppo
XOF839694314 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Viraja Alluri , MD

Internal Medicine

NPI 1003600339

Doctor of Medicine (M.D.)

Jonggi Choi

Student in an Organized Health Care Education/Training Program

NPI 1013399187
Celina Chiodo

Student in an Organized Health Care Education/Training Program

NPI 1013665363
Sujit Darnal

Student in an Organized Health Care Education/Training Program

NPI 1023841202
Aavishkar Regmi

Student in an Organized Health Care Education/Training Program

NPI 1043132293
Ajay Varadhan

Student in an Organized Health Care Education/Training Program

NPI 1053179473

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 11, 2008

Registered at 355 RIDGE AVE, EVANSTON, IL 602023328 (Tel: 8473164000)

📍
Updated Business Mailing Address July 11, 2008

Registered at 429 CUSTER AVE APT 2G, EVANSTON, IL 602022975 (Tel: 7732735968)

👤
Provider Name / Credentials Updated July 11, 2008

Recorded as MONTHA SUPHANGUL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2008

Internal Medicine (License #125052160 in IL)

🟢
Initial NPI Registration & Enumeration July 11, 2008

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: 1548424229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 11, 2008
Last Update: July 11, 2008
Sole Proprietor: Yes

Mailing Address

429 Custer Ave Apt 2g

Evanston, IL 602022975

Phone: 7732735968

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.