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MR. KAJORNDEJ KOMUTANON MD
NPI 1528069804
Allergy & Immunology - Allergy in Chicago, IL

Active since August 09, 2005
3218 W LAWRENCE AVE, CHICAGO, IL 60625(773) 588-6846(733) 588-6847 Get Directions Write a Review

NPPES record last updated: November 29, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kajorndej Komutanon Md NPPES

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

MR. KAJORNDEJ KOMUTANON MD (NPI 1528069804) is an individual allergy provider in Chicago, Illinois, licensed in Illinois (036046966) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1528069804
Entity TypeIndividualMale
Primary Taxonomy207KA0200X
Provider Legal NameMR. KAJORNDEJ KOMUTANONCredential: MD
Location Address3218 W LAWRENCE AVEChicago, IL 60625-5209
Mailing Address6543 W Albert AvenueMorton Grove, IL 60053-1402 · (847) 966-1957 · Fax (773) 588-6847
Phone(773) 588-6846
Fax(733) 588-6847
Sole ProprietorYes
Enumeration DateAugust 9, 2005
Last NPPES UpdateNovember 29, 2013
✔ NPI 1528069804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in IL · 036046966
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
3218 W LAWRENCE AVE, Chicago, IL 60625
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Other Identifiers 3

Medicaid036046966IL
Medicare UPINC42202
Medicare ID-Type Unspecified485150

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 Kajorndej Komutanon's NPI number?

The NPI number for Kajorndej Komutanon is 1528069804. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Kajorndej Komutanon located?

Kajorndej Komutanon practices at 3218 W Lawrence Ave, Chicago, IL 60625. The listed phone number is (773) 588-6846.

What is Kajorndej Komutanon's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

When was this NPI record last updated?

The NPPES record for Kajorndej Komutanon was last updated on November 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.