Individual
DR. PISIT RANGSITHIENCHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 VICTORIA DR, OAK FOREST, IL 60452-2134
(708) 687-7550
(708) 687-7552
Mailing address
1809 CARDINAL CT, FLOSSMOOR, IL 60422-2049
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36-48818
IL
207K00000X
Allergy & Immunology Physician
36-48818
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048818
—
IL
Enumeration date
08/18/2006
Last updated
05/05/2024
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