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

Individual provider Obstetrics & Gynecology Physician · NPI 1700915063

Dr. Supachai S Pongched, MD is an Obstetrics & Gynecology Physician in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

11416 S Michigan Ave
Chicago, IL 60628-4932
Phone: (773) 660-8515
Fax: (630) 455-9633
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Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X (IL)

Record details

NPI number1700915063
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007

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