Organization
SANGCHANTR MEDICAL ASSOCIATES, S.C.
Active
Organization
SANGCHANTR MEDICAL ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANCHAI SANGCHANTR M.D. (PRESIDENT)
(773) 665-3084
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, GI LAB, CHICAGO, IL 60657-5640
(773) 665-3084
(773) 665-3012
Mailing address
4207 RUTGERS LN, NORTHBROOK, IL 60062-2913
(773) 348-7305
(773) 665-3012
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036-046323
IL
Other
Enumeration date
06/14/2012
Last updated
10/01/2012
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