Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SURASAK JIM VASAVANONT, PHARMD
Active Sole ProprietorDR. SURASAK JIM VASAVANONT, PHARMD is a Pharmacist healthcare provider located in CHICAGO, Illinois. NPI 1407133820 is currently active in the NPPES registry. Verify at CMS.
Pharmacist · CHICAGO, IL
Registration Details
- NPI Number
- 1407133820
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2011 (14.738951953631 yrs)
- Last Updated
- Nov 14, 2011
- License
-
051.293192 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6016 W 63RD STCHICAGO, IL, 606384318Browse IL providers · Browse ZIP 60638
- Phone
- 7737880180
- Fax
- 7737880266
- Primary Specialty
-
Pharmacist
183500000X
Other Pharmacist Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MARI G LEAHY | PHARMD | 1700880077 |
| LISA C MONDIE | R.PH. | 1952306151 |
| NORMAN L HINES | R.PH | 1992700017 |
| PATRICIA W SHAO | PHARMD | 1386649440 |
| DR. TARANNUM F QURESHI | PHARMD | 1770589319 |
| DENNIS BRYAN | RPH MBA FAPHA | 1568461119 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.