Individual
KESSARIN PANICHPISAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
880 W CENTRAL RD STE 7200, ARLINGTON HEIGHTS, IL 60005-2382
(847) 618-4430
(847) 618-0786
Mailing address
880 W CENTRAL RD STE 7200, ARLINGTON HEIGHTS, IL 60005-2382
(847) 618-4430
(847) 618-0786
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
036161617
IL
2084V0102X
Vascular Neurology Physician
Primary
036161617
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952613846
—
WI
Enumeration date
07/08/2010
Last updated
02/01/2023
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