Individual
MRS. RAPEEPAN S KOMUTANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3218 W LAWRENCE AVENUE, CHICAGO, IL 60625
(773) 588-6846
(773) 588-6847
Mailing address
6543 W ALBERT AVENUE, MORTON GROVE, IL 60053-1402
(847) 966-1957
(773) 588-6847
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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