Kajorndej Komutanon in Morton Grove - Allergy
Kajorndej Komutanon - NPI 1528069804
Kajorndej Komutanon is a Allergy in Morton Grove, Illinois. Kajorndej Komutanon practices all healthcare services and medical treatments related to Allergy. The NPI Number for Kajorndej Komutanon is 1528069804. The last update date is 2013-11-29.
Kajorndej Komutanon's current location address is 6543 W Albert Avenue, Morton Grove, Illinois. You can contact this provider via phone number 8479661957 and fax number 7735886847. The mailing address for Kajorndej Komutanon is 6543 W Albert Avenue, Morton Grove, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kajorndej Komutanon |
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Address | 6543 W Albert Avenue, Morton Grove, Illinois |
Phone Number | 8479661957 |
Fax Number | 7735886847 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1528069804 |
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Provider Enumeration Date | 2005-08-09 |
Last Updated Date | 2013-11-29 |
Provider Mailing Address Detail
Address | 6543 W Albert Avenue |
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City | Morton Grove |
State | Illinois (IL) |
Post Code | 600531402 |
Phone Number | 8479661957 |
Fax Number | 7735886847 |
Provider's Primary Taxonomy Detail
Speciality | Allergy |
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Taxonomy | 207Ka0200X |
Licence No | 36046966 |
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 |
---|---|---|---|
36046966 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kajorndej Komutanon by the Centers for Medicare & Medicaid Services?
The Kajorndej Komutanon has been issued the NPI (National Provider Identifier) 1528069804 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Kajorndej Komutanon is located?
The Kajorndej Komutanon is situated at the following address: 6543 W Albert Avenue, Morton Grove, IL, 600531402.
Could you kindly provide the complete physical address where Kajorndej Komutanon's facilities are geographically located?
The facilities of Kajorndej Komutanon are physically situated at the following location: 6543 W Albert Avenue, Morton Grove, IL, 600531402.
What is Kajorndej Komutanon's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kajorndej Komutanon's specialized field of practice is Allergy, and the corresponding taxonomy code that categorizes this area of specialization is 207Ka0200X.
When was the information related to Kajorndej Komutanon most recently updated or refreshed?
The details pertaining to the Kajorndej Komutanon, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-11-29.
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