Individual
NIPAPAT VISAVACHAIPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1841 S CALUMET AVE, APT# 809, CHICAGO, IL 60616-4627
(312) 799-1808
Mailing address
1841 S CALUMET AVE, APT# 809, CHICAGO, IL 60616-4627
(312) 799-1808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125053293
IL
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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