Kajorndej Komutanon Md Sc

LBN: Kajorndej Komutanon Md Sc
Kajorndej Komutanon Md Sc is an health care organization with primary practice located at 3218 W Lawrence Avenue , Chicago IL 60625-5209. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. Kajorndej Komutanon Md Sc can be contacted via phone (773) 588-6846, or through Komutanon, Kajorndej via phone (847) 966-1957.

Contact Information

Primary practice address
3218 W Lawrence Avenue Chicago IL 60625-5209
Phone: (773) 588-6846
Fax: (773) 588-6847
Website:
Map and Directions
Authorized official contact:
Name: Komutanon, Kajorndej Doctor of Medicine (MD)
Phone: (847) 966-1957

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 036046966 Illinois

Profile Details

NPI number 1710153762
LBN Legal business name Kajorndej Komutanon Md Sc
DBA Doing business as
Authorized official Komutanon, Kajorndej Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Apr 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710153762 NPPES
Illinois MEDICAID 036046966

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