Sampanta Boonjarern in Oak Park - Nephrology
Sampanta Boonjarern - NPI 1073514642
Sampanta Boonjarern is a Nephrology in Oak Park, Illinois. Sampanta Boonjarern practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Sampanta Boonjarern is 1073514642. The last update date is 2009-10-05.
Sampanta Boonjarern's current location address is 855 Madison St, Oak Park, Illinois. You can contact this provider via phone number 7084924531 and fax number 7087630970. The mailing address for Sampanta Boonjarern is 855 Madison St, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sampanta Boonjarern |
|---|---|
| Address | 855 Madison St, Oak Park, Illinois |
| Phone Number | 7084924531 |
| Fax Number | 7087630970 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073514642 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2009-10-05 |
Provider Mailing Address Detail
| Address | 855 Madison St |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603024420 |
| Phone Number | 7084924531 |
| Fax Number | 7087630970 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
| Licence No | 01027321A |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 95595 | IN | ANTHEM BCBS NUMBER | |
| 100168430A | IN | -- | |
| 100082060 | IN | -- | |
| 90001077 | IL | IL BCBS NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Sampanta Boonjarern by the Centers for Medicare & Medicaid Services (CMS)?
The Sampanta Boonjarern has been assigned the NPI (National Provider Identifier) 1073514642. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Sampanta Boonjarern located?
The Sampanta Boonjarern is located at 855 Madison St, Oak Park, IL 603024420.
What is Sampanta Boonjarern's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sampanta Boonjarern's specialized field of practice is Nephrology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rn0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1073514642 to Sampanta Boonjarern?
The Centers for Medicare & Medicaid Services assigned the 1073514642 to Sampanta Boonjarern on 2005-08-09.
When was the information regarding Sampanta Boonjarern, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sampanta Boonjarern, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-10-05.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH