Vithida Sueblinvong
Pediatric Cardiologist
840 S Wood St M/c 856
Chicago
, Illinois 60612-4325
Vithida Sueblinvong
Pediatric Cardiologist
840 S Wood St M/c 856
Chicago
, Illinois 60612-4325
(312) 413-3373
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Vithida Sueblinvong
- 840 S Wood St M/c 856
- Chicago, IL
- Zip : 60612-4325
- Fax : (312) 413-3373
- Phone : (312) 996-6605
Second Address
- Vithida Sueblinvong
- 840 S Wood St M/c 856
- Chicago, IL
- Zip : 60612-4325
- Fax : (312) 413-3373
- Phone : (312) 996-6605
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 36099389 | IL |
National Provider Identifier
| NPI | 1134193121 |
|---|---|
| Provider Name | Vithida Sueblinvong |
| First Address | Chicago, IL 60612-4325 |
| Second Address | Chicago, IL 60612-4325 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 07/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 36099389 | (05) | IL |
| H70615 | (02) | |
| K09585 | (05) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.