SearchIllinois1223X0400X

Phimon Atsawasuwan

NPI 1700220043 · on the registry since 2013 · sole proprietor

Practice

Address
1283 W. Westgate Terrace
Chicago, IL 60607
Phone
(312) 928-9728
Fax
(815) 293-2159

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-06-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois