KAJORNDEJ KOMUTANON MD SC NPI 1710153762

NPI Information

KAJORNDEJ KOMUTANON MD SC is an allergy allergy immunology in Chicago, IL. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee KAJORNDEJ KOMUTANON MD SC NPI is 1710153762. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3218 W LAWRENCE AVENUE
CHICAGO, IL
ZIP 60625-209
Phone: (773) 588-6846
Fax: (773) 588-6847

The provider's authorized official is Kajorndej Komutanon .
The authorized official title is President and has the following contact phone number (847) 966-1957.

The enumeration date for this NPI number is 4/30/2008 and was last updated on 4/30/2008.

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:

Other Identifiers

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