Individual
JINTANA INTARAPANONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1900 W POLK ST FL 5, CHICAGO, IL 60612-3723
(312) 864-6030
Mailing address
5416 FOSTER ST, SKOKIE, IL 60077-1129
(847) 966-9404
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
IL
Other
Enumeration date
07/29/2006
Last updated
07/08/2007
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