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Karoon Nititham, MD
Specialist in Evanston, Illinois
NPI 1336108901

Karoon Nititham is a Specialist based in Evanston, IL. Karoon Nititham practices in Evanston, IL and has the professional credentials of MD. The NPI Number for Karoon Nititham is 1336108901 and holds a License No. 036-0499652 (Illinois).

The current practice location address for Karoon Nititham is 800 Austin St, Evanston, IL and can be reached out via phone at 847-905-1001 and via fax at 847-905-1002.

Location: 800 Austin St, Evanston, IL, 60202-3439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336108901
Provider Name
Karoon Nititham
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
800 Austin St, Evanston, IL, 60202-3439
Phone Number
847-905-1001
Fax Number
847-905-1002
Provider Enumeration Date
03/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0360499652 05 IL
institution
Provider Business Practice Location Address Details
Address
800 Austin St
City
Evanston
State
Illinois
Zip
60202-3439
Phone Number
847-905-1001
Fax Number
847-905-1002
person
Provider Business Mailing Address Details
Address
800 Austin St
City
Evanston
State
Illinois
Zip
60202-3439
Phone Number
847-905-1001
Fax Number
847-905-1002
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-0499652 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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