CHANACHAI MEMARK MD
NPI 1336116771
Dermatology in Glen Ellyn, IL

Active since March 03, 2006
430 PENNSYLVANIA AVE, GLEN ELLYN, IL 60137(630) 469-9200 Get Directions Write a Review

NPPES record last updated: January 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chanachai Memark Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANACHAI MEMARK MD (NPI 1336116771) is an individual dermatology provider in Glen Ellyn, Illinois, licensed in Illinois (036046760) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1336116771
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameCHANACHAI MEMARKCredential: MD
Location Address430 PENNSYLVANIA AVEGlen Ellyn, IL 60137-4464
Mailing Address1860 Paysphere CirChicago, IL 60674-0018 · (630) 469-9200
Sole ProprietorNo
Enumeration DateMarch 3, 2006
Last NPPES UpdateJanuary 27, 2011
NPI 1336116771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 036046760
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
430 PENNSYLVANIA AVE, Glen Ellyn, IL 60137

Other Identifiers 1

Medicaid03046760IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
430 PENNSYLVANIA AVE, STE 310
GLEN ELLYN, IL 60137
Radiology (Diagnostic Radiology)
430 PENNSYLVANIA AVE
GLEN ELLYN, IL 60137
Surgery
430 PENNSYLVANIA AVE, SUITE 350
GLEN ELLYN, IL 60137
Internal Medicine
430 PENNSYLVANIA AVE
GLEN ELLYN, IL 60137
Otolaryngology (Plastic Surgery within the Head & Neck)
430 PENNSYLVANIA AVE, STE 330
GLEN ELLYN, IL 60137
Radiology (Diagnostic Radiology)
430 PENNSYLVANIA AVE, 110
GLEN ELLYN, IL 60137
Pediatrics (Neonatal-Perinatal Medicine)
430 PENNSYLVANIA AVE
GLEN ELLYN, IL 60137
Pediatrics
430 PENNSYLVANIA AVE
GLEN ELLYN, IL 60137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chanachai Memark's NPI number?

The NPI number for Chanachai Memark is 1336116771. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Chanachai Memark located?

Chanachai Memark practices at 430 Pennsylvania Ave, Glen Ellyn, IL 60137. The listed phone number is (630) 469-9200.

What is Chanachai Memark's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Chanachai Memark was last updated on January 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.