Organization Active NPI

Sangchantr Medical Associates, S.C.

  • Gastroenterology Physician
  • Chicago, IL
National Provider Identifier
1750643748
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036-046323 Issued in IL
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

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Dr. Wanchai Sangchantr, M.D.NPI 1720145386
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)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.