National Provider Identifier Database

VITHIDA SUEBLINVONG, MD – NPI #1134193121
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


Contact Information

VITHIDA SUEBLINVONG, MD
840 S WOOD ST
M/C 856
CHICAGO, IL60612-4325
Phone: 312-996-6605
Fax: 312-413-3373
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for VITHIDA SUEBLINVONG

NPI Number 1134193121
Credentials MD
Entity Individual
Enumeration date 02/15/2006
Last updated 12/07/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 36099389
  • IL Medicaid: 36099389
  • IL Medicaid: K09585
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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