Surasak Pratuangtham
MD | Pediatric Infectious Diseases | Male
Surasak Pratuangtham, MD is a Oak Lawn, Illinois based Pediatric doctor with medical specialization in
Pediatric Infectious Diseases.
Current practice location of Surasak Pratuangtham is
4440 W 95th St, Oak Lawn, Illinois - 60453-2600. He can be contacted on phone at
708-727-1267.
Surasak Pratuangtham is a sole proprietor of his business.
NPI number (Unique professional ID) for Surasak Pratuangtham is
1639164601 which was assigned by NPPES on 15 Sep, 2005 and it was last updated on 22 Dec, 2021.
Surasak Pratuangtham license number is
036085443 for Pediatrics Pediatric Infectious Diseases (2080P0208X) in Illinois.
Surasak Pratuangtham is trained to take care of children in the diagnosis, treatment and prevention of infectious diseases. Infectious Diseases pediatrician can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Complete Profile:
Surasak Pratuangtham basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Infectious Diseases |
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| Provider Name : | Surasak Pratuangtham |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Surasak Pratuangtham 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 : | 4440 W 95th St
Oak Lawn, IL, 60453-2600
United States |
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| Phone Number : | 708-727-1267 |
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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 : | 1639164601 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Sep, 2005 |
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| Last Updated On : | 22 Dec, 2021 |
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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 Surasak Pratuangtham are as mentioned. Primary taxonomy code for Surasak Pratuangtham, MD is
2080P0208X (Pediatrics Pediatric Infectious Diseases).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0208X | Pediatrics Pediatric Infectious Diseases | Yes | 036085443 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Surasak Pratuangtham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 25601 | Other | IL | ADVOCATE HLTH PARTNERS ID |
| 036085443 | MEDICAID | IL | |
| 01626483 | Other | IL | BCBS PROVIDER ID |
| 200331500A | MEDICAID | IN | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | spratuangtham278509@direct.myadvocateaurora.org
| No affiliation | DIRECT
Direct
|
| 4440 W 95TH ST,
OAK LAWN, IL, 60453-2600
United States |
FHIR
(FHIR URL) | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation |
|
| 4440 W 95TH ST,
OAK LAWN, IL, 60453-2600
United States |
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 : | 8100 W 119th St Ste 400
Palos Park, IL, 60464-3080
United States |
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| Phone Number : | 708-361-3300 |
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Business Location:
Patients can refer following map for directions to
Surasak Pratuangtham practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.