Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THIDAPORN IAMSUTTA, QMHP
Active Sole ProprietorTHIDAPORN IAMSUTTA, QMHP is a Mental Health Clinic healthcare provider located in CHICAGO, Illinois. NPI 1972001709 is currently active in the NPPES registry. Verify at CMS.
Mental Health Clinic · CHICAGO, IL
Registration Details
- NPI Number
- 1972001709
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2018 (8.5088491399646 yrs)
- Last Updated
- Jan 26, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
4753 N BROADWAY ST STE 700CHICAGO, IL, 606404995Browse IL providers · Browse ZIP 60640
- Phone
- 7732938430
- Fax
- 7737284751
- Primary Specialty
-
Mental Health Clinic
261QM0801X
Other Mental Health Clinic Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY MICHAEL SARLO | PSY-D | 1255511168 |
| FALGUNI A SHAH | M.ED, LCPC | 1023272903 |
| HRISHIKESH T SHETTY | QMHP | 1912405895 |
| KAMRAN NASEEM MALIK | QMHP | 1033617865 |
| HA TRAN | MPS, ATR | 1659879419 |
| MR. PINGYIP LAM | — | 1568960169 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.