Individual provider · Type 1 NPI
Kajorndej Komutanon, MD
Allergy Physician · Chicago, IL
NPI number
1528069804
Active
Practice location
3218 W Lawrence Ave
Chicago, IL 60625-5209
Fax (733) 588-6847
Mailing address
6543 W Albert Avenue
Morton Grove, IL 60053-1402
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy Physician Primary | 207KA0200X | 036046966 (IL) |
Allergy Physician: A physician who specializes in the diagnosis, treatment, and management of allergies.
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About NPI 1528069804
Kajorndej Komutanon, MD's National Provider Identifier is 1528069804, issued on Aug 9, 2005. The primary taxonomy on file is Allergy Physician (207KA0200X), and the practice location is in Chicago, IL. The record was last updated on Nov 29, 2013.