Individual
DR. RICHARD KAMPANATKOSOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-8000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036.125556
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
02004211A
IN
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036125556
IL
Other
Enumeration date
05/04/2010
Last updated
03/07/2023
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