Vongluekiat & Choi LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019027344 Issued in IL

Legal business name

VONGLUEKIAT & CHOI LLC

Practice address

2959 S Wallace St
Chicago, IL 60616-3034

Phone

(312) 791-0920

NPI assigned

Mar 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Steven Vongluekiat, DDS

Title

Owner

Phone

(312) 791-0920

Specialties & licenses 2

Addresses

Other names 1

• Bridgeport Family Dental Center Doing business as

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1578886214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 S WALLACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 S WALLACE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163034",
            "telephone_number": "312-791-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VONGLUEKIAT & CHOI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "VONGLUEKIAT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-791-0920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027344",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019027363",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgeport Family Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bernard J Vonderhaar, DNP
• Jean Helen Vondriska, IBCLC
• Camille Vondruska, PT
• Chanthou Vong, M.D.
• Pimmasone Kimberly Vongkhamchanh, LCSW
• Irene Vongluekiat, O.D.
• Steven Vongluekiat, DDS
• Elizabeth Vongontard, DPT
• Vonna Karoghlanian Physical Therapy PC
• Jamie Vonroenn, MD

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.