Active NPI
Asap Wellness Center, SC
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1114362456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Geriatric Medicine (Family Medicine) Physician | 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 DirectoryLocations
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.