Muangmingsuk, Sunthorn

Muangmingsuk, Sunthorn is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Muangmingsuk, Sunthorn can be contacted via phone (708) 684-5580.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Fax: (708) 684-4068
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036093897 Illinois

Profile Details

NPI number 1174504880
LBN Legal business name Muangmingsuk, Sunthorn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated May 22nd, 2023 - about last year

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 1174504880 NPPES
Indiana MEDICAID 200445700
Indiana MEDICAID 036093897

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