DR. Pornthep Tanpowpong, M.D. 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. DR. Pornthep Tanpowpong, M.D. NPI is 1962690974. 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:
1117 N DEARBORN ST
APT 816
CHICAGO, IL
ZIP 60610-701
Phone: (773) 341-8090
The NPI 1962690974 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 10/4/2007 and was last updated on 10/4/2007.