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Mr. Kajorndej Komutanon, MD
Allergy Physician in Chicago, Illinois
NPI 1528069804

Kajorndej Komutanon is an Allergy Physician based in Morton Grove, IL and is specialized in Allergy. Kajorndej Komutanon practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Kajorndej Komutanon is 1528069804 and holds a License No. 036046966 (Illinois).

The current practice location address for Kajorndej Komutanon is 3218 W Lawrence Ave, Chicago, IL and can be reached out via phone at 773-588-6846 and via fax at 733-588-6847.

Location: 3218 W Lawrence Ave, Chicago, IL, 60053-1402
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Provider Profile Details
NPI Number
1528069804
Provider Name
Kajorndej Komutanon
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3218 W Lawrence Ave, Chicago, IL, 60053-1402
Phone Number
773-588-6846
Fax Number
733-588-6847
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036046966 05 IL
institution
Provider Business Practice Location Address Details
Address
3218 W Lawrence Ave
City
State
Zip
60625-5209
Phone Number
773-588-6846
Fax Number
733-588-6847
person
Provider Business Mailing Address Details
Address
3218 W Lawrence Ave
City
State
Zip
60625-5209
Phone Number
773-588-6846
Fax Number
733-588-6847
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Allergy & Immunology
Speciality
Allergy
Taxonomy
License No.
036046966 (Illinois)
Definition
Definition to come...
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