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1184477226
CHATCHANAN AUSAVARUNGNIRUN
EVANSTON, IL
NPI
1184477226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-09
Last Update Date
2024-04-09
Business Address
CHATCHANAN AUSAVARUNGNIRUN MD, PhD
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201-1700
Phone number: 847-570-2749
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Mailing Address
CHATCHANAN AUSAVARUNGNIRUN MD, PhD
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150
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