MISS Ornsuda Lertbannaphong, MD 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. MISS Ornsuda Lertbannaphong, MD NPI is 1609037878. 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:
1740 W TAYLOR
CHICAGO, IL
ZIP 60612
Phone: (860) 600-2273
The enumeration date for this NPI number is 6/20/2008 and was last updated on 6/20/2008.