PUANGPETH - JANTRA

CHICAGO, IL
NPI1285675058
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  036-052761)
Enumeration Date2006-06-10
Last Update Date2007-07-08
Business Address
Dr. PUANGPETH - JANTRA M.D.
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-6380
Mailing Address
Dr. PUANGPETH - JANTRA M.D.
4202 YORKSHIRE LN
NORTHBROOK, IL 60062-2917
Phone number: 847-480-9069
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