Individual
PHAIBUL KOSAPHANDHU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2233 W DIVISION ST, ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT, CHICAGO, IL 60622-3043
(312) 770-2000
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 874-2642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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