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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SURASAK PRATUANGTHAM, MD

Active

SURASAK PRATUANGTHAM, MD is a Pediatric Infectious Diseases healthcare provider located in OAK LAWN, Illinois. NPI 1639164601 is currently active in the NPPES registry. Verify at CMS.

Pediatric Infectious Diseases · OAK LAWN, IL

Registration Details

NPI Number
1639164601
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2005 (20.936112286852 yrs)
Last Updated
Dec 22, 2021
License
036085443 (IL)

Practice Information

Address
4440 W 95TH ST
OAK LAWN, IL, 604532600
Browse IL providers · Browse ZIP 60453
Phone
7087271267
Primary Specialty
Pediatric Infectious Diseases
2080P0208X

Other Pediatric Infectious Diseases Providers in OAK LAWN, IL

Name Credential NPI
DANIEL JOHNSON 1902899438
DR. ALISON JOY HORNYAK D.O. 1295051670
DR. EMILY M KELLER M.D. 1093000614
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.