Steven Vongluekiat, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019.027344 Issued in IL

Practice address

2959 S Wallace St
Chicago, IL 60616-3034

Phone

(312) 791-0920

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 20, 2016 through Sep 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350345600000",
    "number": "1902001613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 7TH AVE",
            "city": "LA GRANGE",
            "state": "IL",
            "postal_code": "605252910",
            "telephone_number": "312-791-0920",
            "fax_number": "312-842-5338"
        },
        {
            "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": {
        "last_name": "VONGLUEKIAT",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2012-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.027344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Vondruska, PT
• Chanthou Vong, M.D.
• Pimmasone Kimberly Vongkhamchanh, LCSW
• Vongluekiat & Choi LLC (Bridgeport Family Dental Center)
• Irene Vongluekiat, O.D.
• Elizabeth Vongontard, DPT
• Malina Vongxay
• Vonna Karoghlanian Physical Therapy PC (VK Physical Therapy PC)
• Jamie Vonroenn, MD
• Rose-Anna Voog, MD

• Dentist in Chicago, IL
• Providers in Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.