Individual
PANITA CHIEMMONGKOLTIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
511 DUNDEE AVE, EAST DUNDEE, IL 60118-1642
(847) 844-3274
(847) 844-3275
Mailing address
1109 N DRYDEN AVE, ARLINGTON HEIGHTS, IL 60004-4918
(847) 368-9052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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