Active NPI
Surintorn Suanthong, PH.D.
- Acupuncturist
- Chicago, IL
National Provider Identifier
1720534639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198000762
- Practice address
- 1335 W Lake St
Chicago Touch
Chicago, IL 60607-1518 - Phone
- (312) 929-3083
- NPI assigned
- Aug 31, 2016
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198000762 | IL | Primary |
Addresses
Primary practice location
1335 W Lake St
Chicago Touch
Chicago, IL 60607-1518
Mailing address
5455 N Sheridan Rd
Apt 2103
Chicago, IL 60640-1958
Phone (773) 317-7029
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198000762 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1720534639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 N SHERIDAN RD",
"address_2": "APT 2103",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606401958",
"telephone_number": "773-317-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 W LAKE ST",
"address_2": "CHICAGO TOUCH",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606071518",
"telephone_number": "312-929-3083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUANTHONG",
"first_name": "SURINTORN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198000762",
"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 Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.