Komutanon, Kajorndej
Komutanon, Kajorndej is an sole proprietor health care provider with primary practice located at 3218 W Lawrence Ave , Chicago IL 60625-5209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Komutanon, Kajorndej can be contacted via phone (773) 588-6846.Contact Information
Primary practice address
3218 W Lawrence Ave
Chicago IL 60625-5209
Phone: (773) 588-6846
Fax: (733) 588-6847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 036046966 | Illinois |
Profile Details
| NPI number | 1528069804 |
|---|---|
| LBN Legal business name | Komutanon, Kajorndej |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Nov 29th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528069804 | NPPES |
| Illinois | MEDICAID | 036046966 |
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