Bateman, Pantila Vanichakarn

Bateman, Pantila Vanichakarn is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Bateman, Pantila Vanichakarn can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 226001 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 15273 New Hampshire
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 01075398A Indiana
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036161785 Illinois

Profile Details

NPI number 1699940361
LBN Legal business name Bateman, Pantila Vanichakarn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2008
Last updated Dec 9th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699940361 NPPES
Indiana MEDICAID 201313450

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