Vithida Sueblinvong

MD | Pediatric Cardiology | Female

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Complete Profile:

Vithida Sueblinvong basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Vithida Sueblinvong
Credential :	MD
Gender :	Female

Business Address:

Vithida Sueblinvong address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	840 S Wood St, M/c 856 Chicago, IL, 60612-4325 United States
Phone Number :	312-996-6605
Fax Number :	312-413-3373

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1134193121
NPI Entity Type :	Individual
First Enrolment Date :	15 Feb, 2006
Last Updated On :	07 Dec, 2011

Medicare Participation:

Vithida Sueblinvong participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7416925094
Medicare Enrollment ID :	I20040921001131
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	1995
Accepts Medicare?	Yes. Vithida Sueblinvong accepts medicare insurance.

Group Practice Association:

Vithida Sueblinvong is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Vithida Sueblinvong is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The Board Of Trustees Of The University Of Illinois	3072422716	891	840 S Wood St 856 Uic Pediatrics Chicago, IL - 606124325 Ph: 3124131429	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vithida Sueblinvong are as mentioned. Primary taxonomy code for Vithida Sueblinvong, MD is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	Yes	36099389	IL

Legacy Identifiers:

Other legacy medical identifiers of Vithida Sueblinvong such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
K09585	MEDICAID	IL
36099389	MEDICAID	IL

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	840 S Wood St, M/c 856 Chicago, IL, 60612-4325 United States
Phone Number :	312-996-6605
Fax Number :	312-413-3373

Business Location:

Patients can refer following map for directions to Vithida Sueblinvong practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.