institution
Kajorndej Komutanon Md Sc
Allergy Physician in Chicago, Illinois
NPI 1710153762

Kajorndej Komutanon Md Sc is an Allergy Physician based in Morton Grove, IL and is specialized in Allergy. Kajorndej Komutanon Md Sc practices in Chicago, IL. The NPI Number for Kajorndej Komutanon Md Sc is 1710153762 and holds a License No. 036046966 (Illinois).

The current practice location address for Kajorndej Komutanon Md Sc is 3218 W Lawrence Avenue, Chicago, IL and can be reached out via phone at 773-588-6846 and via fax at 773-588-6847. You can also correspond with Kajorndej Komutanon Md Sc through the mailing address at 6543 W ALBERT AVENUE, MORTON GROVE, IL - 60053-1402 (mailing address contact number: 847-966-1957).

Location: 3218 W Lawrence Avenue, Chicago, IL, 60053-1402
institution
Provider Profile Details
NPI Number
1710153762
Provider Name
Kajorndej Komutanon Md Sc
Credential
Provider Entity Type
Organization
Address
3218 W Lawrence Avenue, Chicago, IL, 60053-1402
Phone Number
773-588-6846
Fax Number
773-588-6847
Provider Enumeration Date
04/30/2008
Last Update Date
03/09/2024
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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 Avenue
City
State
Zip
60625-5209
Phone Number
773-588-6846
Fax Number
773-588-6847
person
Provider Business Mailing Address Details
Address
3218 W Lawrence Avenue
City
State
Zip
60625-5209
Phone Number
773-588-6846
Fax Number
773-588-6847
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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