Individual
NUNTIDA SURACHAICHARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
812 CAMPUS DR, JOLIET, IL 60435-5128
(815) 741-6830
(815) 741-6832
Mailing address
PO BOX 3877, JOLIET, IL 60434-3877
(815) 714-7171
(815) 435-5080
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036.163644
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2020
Last updated
02/17/2026
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