Kajorndej Komutanon, MD
Allergy & Immunology, Allergy in Chicago, IL. Individual provider (NPI-1).
NPI number1528069804
StatusActive
Last updated in NPPESNov 29, 2013
Details
- NPI
- 1528069804
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kajorndej Komutanon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2005
- Last updated
- Nov 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207KA0200X | Allergy & Immunology, Allergy | 036046966 | IL | Yes |
Practice location
3218 W Lawrence AveChicago, IL 60625-5209
Phone 773-588-6846 · Fax 733-588-6847
Mailing address
6543 W Albert AvenueMorton Grove, IL 60053-1402
Phone 847-966-1957 · Fax 773-588-6847
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