Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pong Medical Center LLC

Organization Family Medicine Physician · NPI 1871853259

Pong Medical Center LLC is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5151 N Lincoln Ave
Chicago, IL 60625-2520
Phone: (773) 784-0900
Fax: (773) 784-6173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036048043 (IL)

Record details

NPI number1871853259
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suchat Ponglorpisita — Md · (773) 218-9625
NPI enumeratedMay 20, 2012
Last updated in NPPESMay 24, 2016
Mailing address11110 Martindale Dr, Westchester, IL 60154-4920

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