CHALONGCHAI PHITSANUWONG NPI 1245484740

NPI Information

  • NPI: 1245484740
  • Provider Name: CHALONGCHAI PHITSANUWONG
  • Classification: Psychiatry & Neurology - 2084N0402X
  • Specialization: Neurology with Special Qualifications in Child Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5841 S MARYLAND AVE
    CHICAGO, IL
    ZIP 60637
  • Phone: (888) 824-0200

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NPI Details

Chalongchai Phitsanuwong is a neurology with special qualifications in child neurology psychiatry neurology in Chicago, IL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Chalongchai Phitsanuwong NPI is 1245484740. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637-443
Phone: (888) 824-0200

The NPI 1245484740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/11/2008 and was last updated on 10/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology036135162ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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