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Individual

DR. RONALD KAMPANATKOSOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4440 W 95TH ST, OFFICE 3192H, OAK LAWN, IL 60453-2600
(708) 684-5685
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036127108
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036127108
IL

Other

Enumeration date
01/25/2011
Last updated
03/24/2026
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