SIRIRAT R BANUCHI

CHICAGO, IL
NPI1164529087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207NS0135X Dermatology, Procedural Dermatology
(Licence: IL  36046827)
Enumeration Date2006-09-20
Last Update Date2007-07-08
Business Address
Dr. SIRIRAT R BANUCHI M.D
4849 N MILWAUKEE AVE
CHICAGO, IL 60630-5100
Phone number: 773-545-3123
Mailing Address
Dr. SIRIRAT R BANUCHI M.D
4849 N MILWAUKEE AVE
CHICAGO, IL 60630-5100
Phone number: 773-545-3123