Individual
DR. VORAPHOT SATHISSARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 GLENWOOD AVE, STE 100, JOLIET, IL 60435
(815) 741-1212
(815) 741-0707
Mailing address
2000 GLENWOOD AVE, STE 100, JOLIET, IL 60435
(815) 741-1212
(815) 741-0707
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036046328
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036046328
—
IL
01
—
09932417
BCBS
—
Enumeration date
10/03/2005
Last updated
11/02/2010
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