Individual
DR. THANCHANOK CHAIPRASIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2160 S. FIRST AVE, MAYWOOD, IL 60153
(708) 327-2626
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3250
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
125078988
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
125078988
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2021
Last updated
01/20/2026
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