person
Miss Ornsuda Lertbannaphong, MD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1609037878

Ornsuda Lertbannaphong is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Ornsuda Lertbannaphong practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Ornsuda Lertbannaphong is 1609037878 and holds a License No. (Illinois).

The current practice location address for Ornsuda Lertbannaphong is 1740 W Taylor, Chicago, IL and can be reached out via phone at 860-600-2273.

Location: 1740 W Taylor, Chicago, IL, 60607
person
Provider Profile Details
NPI Number
1609037878
Provider Name
Ornsuda Lertbannaphong
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1740 W Taylor, Chicago, IL, 60607
Phone Number
860-600-2273
Fax Number
Provider Enumeration Date
06/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1740 W Taylor
City
State
Zip
60612
Phone Number
860-600-2273
Fax Number
person
Provider Business Mailing Address Details
Address
1740 W Taylor
City
State
Zip
60612
Phone Number
860-600-2273
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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