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Montha Suphangul, MD
Internal Medicine Physician in Evanston, Illinois
NPI 1548424229

Montha Suphangul is a Internal Medicine Physician based in Evanston, IL. Montha Suphangul practices in Evanston, IL and has the professional credentials of MD. The NPI Number for Montha Suphangul is 1548424229 and holds a License No. 125052160 (Illinois).

The current practice location address for Montha Suphangul is 355 Ridge Ave, Evanston, IL and can be reached out via phone at 847-316-4000.

Location: 355 Ridge Ave, Evanston, IL, 60202-2975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548424229
Provider Name
Montha Suphangul
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
355 Ridge Ave, Evanston, IL, 60202-2975
Phone Number
847-316-4000
Fax Number
Provider Enumeration Date
07/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
XOF839694314 01 IL BLUECROSS BLUESHIELD PPO
institution
Provider Business Practice Location Address Details
Address
355 Ridge Ave
City
Evanston
State
Illinois
Zip
60202-3328
Phone Number
847-316-4000
Fax Number
person
Provider Business Mailing Address Details
Address
355 Ridge Ave
City
Evanston
State
Illinois
Zip
60202-3328
Phone Number
847-316-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
125052160 (Illinois)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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