Supaluck Kanjanauthai is a student in an organized health care education training program in Chicago, IL. The provider is 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. Supaluck Kanjanauthai NPI is 1598938383. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
856 W NELSON ST APT 1303
CHICAGO, IL
ZIP 60657-103
Phone: (312) 404-7447
The enumeration date for this NPI number is 4/11/2008 and was last updated on 4/11/2008.