Organization Active NPI

Asap Wellness Center, SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1114362456
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ASAP WELLNESS CENTER, SC
Practice address
730 S Dearborn St
Chicago, IL 60605-1838
Phone
(312) 588-1104
NPI assigned
Apr 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Akavut Suesakul, MD
Title
Owner
Phone
(312) 532-7472

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X

Addresses

Primary practice location

730 S Dearborn St
Chicago, IL 60605-1838

Mailing address

730 S Dearborn St
Chicago, IL 60605-1838
Phone (312) 588-1104

National Provider Directory

National Provider Directory

Locations

5130 W Jackson Blvd
Chicago, IL 60644
Phone (773) 287-1429

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1114362456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 S DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051838",
            "telephone_number": "312-588-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606051838",
            "telephone_number": "312-588-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAP WELLNESS CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "SUESAKUL",
        "authorized_official_first_name": "AKAVUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-532-7472",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.