Individual provider · Type 1 NPI

Sariya Prachukthum, MD

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1750693412 Active

Practice location

1450 E 55th Pl # 421
Chicago, IL 60637-1877

Call (312) 810-8922 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X125058319 (IL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1750693412

Sariya Prachukthum, MD's National Provider Identifier is 1750693412, issued on Jul 11, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Jul 11, 2010.