Active NPI
Suchitra Surapiboonchai, CRNA
- Anesthesiology Physician
- Chicago, IL
National Provider Identifier
1316948821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Practice address
- 326 West 64TH Street
St. Bernard Hospital/Anesthesia Department
Chicago, IL 60621 - Phone
- (773) 962-4100
- NPI assigned
- Aug 9, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IL | Primary |
Addresses
Primary practice location
326 West 64TH Street
St. Bernard Hospital/Anesthesia Department
Chicago, IL 60621
Mailing address
520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209001151 | IL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1316948821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E 22ND ST",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601486110",
"telephone_number": "630-874-2542",
"fax_number": "630-874-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 WEST 64TH STREET",
"address_2": "ST. BERNARD HOSPITAL/ANESTHESIA DEPARTMENT",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60621",
"telephone_number": "773-962-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURAPIBOONCHAI",
"first_name": "SUCHITRA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": null,
"primary": true
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.