Individual
DR. WANCHAI SANGCHANTR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 N LAKE SHORE DR, 10TH FLOOR - GI LAB, CHICAGO, IL 60657-5640
(773) 665-3084
(773) 665-3728
Mailing address
4207 RUTGERS LN, NORTHBROOK, IL 60062-2913
(773) 348-7305
(773) 665-3728
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA292929
—
IL
Enumeration date
01/02/2007
Last updated
07/08/2007
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