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Nuntida Surachaicharn, DO
Nephrology Physician in Maywood, Illinois
NPI 1821625021

Nuntida Surachaicharn is a Nephrology Physician based in Maywood, IL and is specialized in Nephrology. Nuntida Surachaicharn practices in Maywood, IL and has the professional credentials of DO. The NPI Number for Nuntida Surachaicharn is 1821625021 and holds a License No. (Illinois).

The current practice location address for Nuntida Surachaicharn is 2160 S 1St Ave, Maywood, IL and can be reached out via phone at 708-216-6055.

Location: 2160 S 1St Ave, Maywood, IL, 60153-3328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821625021
Provider Name
Nuntida Surachaicharn
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2160 S 1St Ave, Maywood, IL, 60153-3328
Phone Number
708-216-6055
Fax Number
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-6055
Fax Number
person
Provider Business Mailing Address Details
Address
2160 S 1St Ave
City
Maywood
State
Illinois
Zip
60153-3328
Phone Number
708-216-6055
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
036.163644 (Illinois)
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
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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