KHEMAPORN LERTDETKAJORN

CHICAGO, IL
NPI1871089367
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.071611)
Enumeration Date2018-07-08
Last Update Date2018-07-08
Business Address
Miss KHEMAPORN LERTDETKAJORN MD
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone number: 773-564-6038
Mailing Address
Miss KHEMAPORN LERTDETKAJORN MD
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone number: 773-564-6038
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