Individual
APINYA LERTRATANAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3333
(773) 665-3333
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3333
(773) 665-3333
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125-054909
IL
207RR0500X
Rheumatology Physician
036.126929
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125-054909
125-054909
—
Enumeration date
08/12/2008
Last updated
04/27/2013
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