person
Dr. Pornthep Tanpowpong, MD
Student in an Organized Health Care Education/Training Program in Chicago, Illinois
NPI 1962690974

Pornthep Tanpowpong is a Student in an Organized Health Care Education/Training Program based in Chicago, IL. Pornthep Tanpowpong practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Pornthep Tanpowpong is 1962690974 and holds a License No. (Illinois).

The current practice location address for Pornthep Tanpowpong is 1117 N Dearborn St, Chicago, IL and can be reached out via phone at 773-341-8090.

Location: 1117 N Dearborn St, Chicago, IL, 60610-2701
person
Provider Profile Details
NPI Number
1962690974
Provider Name
Pornthep Tanpowpong
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1117 N Dearborn St, Chicago, IL, 60610-2701
Phone Number
773-341-8090
Fax Number
Provider Enumeration Date
10/04/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1117 N Dearborn St
City
State
Zip
60610-2701
Phone Number
773-341-8090
Fax Number
person
Provider Business Mailing Address Details
Address
1117 N Dearborn St
City
State
Zip
60610-2701
Phone Number
773-341-8090
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.
(Illinois)
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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