Active NPI
Sangchantr Medical Associates, S.C.
- Gastroenterology Physician
- Chicago, IL
National Provider Identifier
1750643748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036-046323
- Legal business name
- SANGCHANTR MEDICAL ASSOCIATES, S.C.
- Practice address
- 2900 N Lake Shore Dr
Gi Lab
Chicago, IL 60657-5640 - Phone
- (773) 665-3084
- Fax
- (773) 665-3012
- NPI assigned
- Jun 14, 2012
- 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
- Dr. Wanchai Sangchantr, M.D.
- Title
- President
- Phone
- (773) 665-3084
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036-046323 | IL | Primary |
Addresses
Primary practice location
2900 N Lake Shore Dr
Gi Lab
Chicago, IL 60657-5640
Mailing address
4207 Rutgers LN
Northbrook, IL 60062-2913
Phone (773) 348-7305
National Provider Directory
National Provider DirectoryLocations
2900 N Lake Shore Dr
Fl 10
Chicago, IL 60657
Phone (773) 665-3080
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Chicago, IL
- NPI 1720145386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1349049600000",
"number": "1750643748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 RUTGERS LN",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622913",
"telephone_number": "773-348-7305",
"fax_number": "773-665-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 N LAKE SHORE DR",
"address_2": "GI LAB",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575640",
"telephone_number": "773-665-3084",
"fax_number": "773-665-3012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANGCHANTR MEDICAL ASSOCIATES, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-14",
"last_updated": "2012-10-01",
"status": "A",
"authorized_official_last_name": "SANGCHANTR",
"authorized_official_first_name": "WANCHAI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-665-3084",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036-046323",
"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 Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.