Individual
DR. SURINTORN SUANTHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1335 W LAKE ST, CHICAGO TOUCH, CHICAGO, IL 60607-1518
(312) 929-3083
Mailing address
5455 N SHERIDAN RD, APT 2103, CHICAGO, IL 60640-1958
(773) 317-7029
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000762
IL
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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