Chairat Luangsuwan, MD
Radiology, Diagnostic Radiology in Chicago, IL. Individual provider (NPI-1).
NPI number1245280809
StatusActive
Last updated in NPPESJun 29, 2012
Details
- NPI
- 1245280809
- Entity type
- Individual (NPI-1)
- Name
- Chairat Luangsuwan
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 12, 2006
- Last updated
- Jun 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 036-047975 | IL | Yes |
Practice location
2900 N Lake Shore DrChicago, IL 60657-5640
Phone 773-665-3240
Mailing address
2900 N Lake Shore DrChicago, IL 60657-5640
Phone 773-665-3240
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