ORNSUDA LERTBANNAPHONG

CHICAGO, IL
NPI1609037878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-06-20
Last Update Date2008-06-20
Business Address
Miss ORNSUDA LERTBANNAPHONG MD
1740 W TAYLOR
CHICAGO, IL 60612
Phone number: 860-600-2273
Mailing Address
Miss ORNSUDA LERTBANNAPHONG MD
903 S ASHLAND AVE 805B
CHICAGO, IL 60607
Phone number: 312-929-8495