Individual
KANOKPORN MINANOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3036 W IRVING PARK RD, CHICAGO, IL 60618-3539
(773) 270-1703
Mailing address
4923 N LEAVITT ST UNIT 1, CHICAGO, IL 60625-1308
(312) 774-5240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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