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

Kanyada Suvittayasiri

Individual provider Physician Assistant · NPI 1710405899

Kanyada Suvittayasiri is a Physician Assistant in Skokie, Illinois. Qualified in 2017, 9 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

9977 Woods Dr Ste 100
Skokie, IL 60077-1057
Phone: (847) 982-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3249 Oak Park Ave, Berwyn, IL 60402-3429 — (847) 624-3715

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006443 (IL)

Record details

NPI number1710405899
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2017
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

Other providers in Skokie