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1639164601
SURASAK PRATUANGTHAM
OAK LAWN, IL
NPI
1639164601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: IL 036085443)
Enumeration Date
2005-09-15
Last Update Date
2021-12-22
Business Address
SURASAK PRATUANGTHAM MD
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-727-1267
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Mailing Address
SURASAK PRATUANGTHAM MD
8100 W 119TH ST STE 400
PALOS PARK, IL 60464-3080
Phone number: 708-361-3300
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