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

Tana Chongsuwat, MD

Individual provider Family Medicine Physician · NPI 1184070963

Tana Chongsuwat, MD is a Family Practice in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Erie Family Health Center, Inc, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
11
Licensed in
IL, WI
In the registry since
2016
Specialties on file
2
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

2750 W North Ave
Chicago, IL 60647-5247
Phone: (312) 666-3494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1102 S Park St, Madison, WI 53715-1708 — (608) 263-3111

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73307 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036.162807 (IL)

Record details

NPI number1184070963
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2016
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Erie Family Health Center, Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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