Individual
POOME CHAMNANKIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN-CNP
Contact information
Practice address
2650 RIDGE AVE, ICU, RM 3935A, EVANSTON, IL 60201-1718
(847) 570-2428
(847) 570-1436
Mailing address
2650 RIDGE AVE STE 4945, EVANSTON, IL 60201-1700
(847) 570-2332
(847) 570-1436
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005563
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
209-005563
IL
Other
Enumeration date
05/24/2007
Last updated
03/31/2026
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