Poj Lysouvakon
Pediatrics | Male
Poj Lysouvakon is a Chicago, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Poj Lysouvakon is
800 E 55th St, Chicago, Illinois - 60615. He can be contacted on phone at
773-702-0660.
Poj Lysouvakon is a sole proprietor of his business.
NPI number (Unique professional ID) for Poj Lysouvakon is
1346304946 which was assigned by NPPES on 20 Dec, 2006 and it was last updated on 11 Oct, 2022.
Poj Lysouvakon license number is
036098561 for Pediatrics (208000000X) in Illinois.
Poj Lysouvakon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Poj Lysouvakon basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Poj Lysouvakon |
|---|
| Gender : | Male |
|---|
Business Address:
Poj Lysouvakon address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 800 E 55th St
Chicago, IL, 60615
United States |
|---|
| Phone Number : | 773-702-0660 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346304946 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 20 Dec, 2006 |
|---|
| Last Updated On : | 11 Oct, 2022 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Poj Lysouvakon are as mentioned. Primary taxonomy code for Poj Lysouvakon is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | No | 036098561 | IL |
| 208000000X | Pediatrics | Yes | 036098561 | IL |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 800 E 55th St
Chicago, IL, 60615-4906
United States |
|---|
| Phone Number : | 773-702-0660 |
|---|
Business Location:
Patients can refer following map for directions to
Poj Lysouvakon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.