PORNTHEP TANPOWPONG

CHICAGO, IL
NPI1962690974
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125050111)
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
Dr. PORNTHEP TANPOWPONG M.D.
1117 N DEARBORN ST APT 816
CHICAGO, IL 60610-2701
Phone number: 773-341-8090
Mailing Address
Dr. PORNTHEP TANPOWPONG M.D.
1117 N DEARBORN ST APT 816
CHICAGO, IL 60610-2701
Phone number: 773-341-8090
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