Dr. Chalongchai Phitsanuwong
Child Neurologist
5841 S Maryland Ave Mc 3055, Room 391
Chicago
, Illinois 60637-1447
Dr. Chalongchai Phitsanuwong
Child Neurologist
5841 S Maryland Ave Mc 3055, Room 391
Chicago
, Illinois 60637-1447
(312) 523-7325
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About
Features
Specialties
- Child Neurologist
Languages spoken
- English
Location
First Address
- Dr. Chalongchai Phitsanuwong
- 1130 S Michigan Ave Apartment 3913
- Chicago, IL
- Zip : 60605-2521
- Phone : (312) 523-7325
Second Address
- Dr. Chalongchai Phitsanuwong
- 5841 S Maryland Ave Mc 3055, Room 391
- Chicago, IL
- Zip : 60637-1447
- Phone : (773) 834-2259
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Is Dr. Chalongchai Phitsanuwong accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0402X | Child Neurologist | 036135162 | IL |
National Provider Identifier
| NPI | 1245484740 |
|---|---|
| Provider Name | Dr. Chalongchai Phitsanuwong |
| First Address | Chicago, IL 60605-2521 |
| Second Address | Chicago, IL 60637-1447 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/11/2008 |
| Last Update Date | 08/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036135162 | MEDICAL LICENSE (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.