MEDICARE: SUCHITRA SURAPIBOONCHAI CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician		IL

General Provider Information

NPI Number	:	1316948821
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUCHITRA SURAPIBOONCHAI CRNA

Provider Business Mailing Address
First Line	:	520 E 22ND ST
Second Line	:
City	:	LOMBARD
State	:	IL
Zip	:	60148-6110
Country	:	US
Telephone Number	:	630-874-2542
Fax Number	:	630-874-2642

Provider Business Practice Location Address
First Line	:	326 WEST 64TH STREET
Second Line	:	ST. BERNARD HOSPITAL/ANESTHESIA DEPARTMENT
City	:	CHICAGO
State	:	IL
Zip	:	60621
Country	:	US
Telephone Number	:	773-962-4100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992704381 — JAMES EDWARD BECKETT M.D.
Practice Location Address:

326 W 64TH ST , ST BERNARD HOSPITAL DEPT RADIOLOGY
CHICAGO, IL
60621-3114

Practice Phone: 773-962-4030
Practice Fax: 773-962-4399

1326040304 — JENNIFER S. HONG-SURAPIBOONCHAI CRNA
Practice Location Address:

326 W 64TH ST , ST. BERNARD HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL
60621-3114

Practice Phone: 773-962-4100
Practice Fax:

1265434245 — DAVID L. KINTANAR M.D.
Practice Location Address:

326 W 64TH ST , ST. BERNARD HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL
60621-3114

Practice Phone: 773-962-4100
Practice Fax:

1871595256 — CITY OF CHICAGO
Practice Location Address:

641 W 63RD ST
CHICAGO, IL
60621-2032

Practice Phone: 312-747-7831
Practice Fax: 312-747-0292

1568454700 — CHICAGO DEPARTMENT OF PUBLIC HEALTH
Practice Location Address:

641 W 63RD ST , ENGLEWOOD MENTAL HEALTH CENTER GROUND FLOOR
CHICAGO, IL
60621-2032

Practice Phone: 312-747-7496
Practice Fax: 312-747-3674

1437141108 — BHAVANA P VAIDYA MD
Practice Location Address:

6307 S STEWART AVE STE 201
CHICAGO, IL
60621-3116

Practice Phone: 773-962-4025
Practice Fax:

Directions to “ SUCHITRA SURAPIBOONCHAI CRNA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.