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1417168022
POOME CHAMNANKIT
EVANSTON, IL
NPI
1417168022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: IL 209-005563)
Enumeration Date
2007-05-24
Last Update Date
2020-06-04
Business Address
POOME CHAMNANKIT APN-CNP
2650 RIDGE AVE ICU, RM 3935A
EVANSTON, IL 60201-1718
Phone number: 847-570-2428
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Mailing Address
POOME CHAMNANKIT APN-CNP
2650 RIDGE AVE STE 4945
EVANSTON, IL 60201-1700
Phone number: 847-570-2332
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