Organization
ANGSPATT PISIT MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PISIT RANGSITHIENCHAI M.D. (VICE PRESIDENT)
(708) 687-7550
Entity
Organization
Contact information
Practice address
5601 VICTORIA DR, OAK FOREST, IL 60452-2134
(708) 687-7550
Mailing address
5601 VICTORIA DR., OAK FOREST, IL 60452-2134
(708) 687-7550
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044915
—
IL
05
—
036048818
—
IL
05
—
036059338
—
IL
Enumeration date
08/24/2006
Last updated
12/06/2021
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