Voraphot Sathissarat in Joliet - Allergy
Voraphot Sathissarat - NPI 1538156781
Voraphot Sathissarat is a Allergy in Joliet, Illinois. Voraphot Sathissarat practices all healthcare services and medical treatments related to Allergy. The NPI Number for Voraphot Sathissarat is 1538156781. The last update date is 2010-11-02.
Voraphot Sathissarat's current location address is 2000 Glenwood Ave, Joliet, Illinois. You can contact this provider via phone number 8157411212 and fax number 8157410707. The mailing address for Voraphot Sathissarat is 2000 Glenwood Ave, Joliet, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Voraphot Sathissarat |
|---|---|
| Address | 2000 Glenwood Ave, Joliet, Illinois |
| Phone Number | 8157411212 |
| Fax Number | 8157410707 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1538156781 |
|---|---|
| Provider Enumeration Date | 2005-10-03 |
| Last Updated Date | 2010-11-02 |
Provider Mailing Address Detail
| Address | 2000 Glenwood Ave |
|---|---|
| City | Joliet |
| State | Illinois (IL) |
| Post Code | 60435 |
| Phone Number | 8157411212 |
| Fax Number | 8157410707 |
Provider's Primary Taxonomy Detail
| Speciality | Allergy |
|---|---|
| Taxonomy | 207Ka0200X |
| Licence No | 36046328 |
|
Definition: A physician who specializes in the diagnosis, treatment, and management of allergies. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36046328 | IL | -- | |
| 9932417 | BCBS |
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What is the unique 10-digit identification code issued to Voraphot Sathissarat by the Centers for Medicare & Medicaid Services?
The Voraphot Sathissarat has been assigned the NPI (National Provider Identifier) 1538156781 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Voraphot Sathissarat located?
The Voraphot Sathissarat is located at 2000 Glenwood Ave, Joliet, IL 60435.
What is Voraphot Sathissarat's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Voraphot Sathissarat's specialized field of practice is Allergy, and the corresponding taxonomy code that categorizes this area of specialization is 207Ka0200X.
On what date did the Voraphot Sathissarat receive the assignment of its 1538156781 from the Centers for Medicare & Medicaid Services?
The Voraphot Sathissarat was issued its 1538156781 by the Centers for Medicare & Medicaid Services on 2005-10-03.
As of what date were the Voraphot Sathissarat's details last updated?
The information pertaining to the Voraphot Sathissarat, including its address, specialty, and other details, was most recently updated on 2010-11-02.