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KAJORNDEJ KOMUTANON MD SC
NPI 1710153762
Allergy & Immunology - Allergy in Chicago, IL

Active since April 30, 2008
3218 W LAWRENCE AVENUE, CHICAGO, IL 60625(773) 588-6846(773) 588-6847 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kajorndej Komutanon Md Sc NPPES

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

KAJORNDEJ KOMUTANON MD SC (NPI 1710153762) is a healthcare organization registered as an allergy in Chicago, Illinois and active in the NPI registry since April 2008. The organization lists Kajorndej Komutanon, President, as its authorized official.

NPPES Registry Identity

NPI1710153762
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameKAJORNDEJ KOMUTANON MD SC
Location Address3218 W LAWRENCE AVENUEChicago, IL 60625-5209
Mailing Address6543 W Albert AvenueMorton Grove, IL 60053-1402 · (847) 966-1957 · Fax (847) 966-1957
Phone(773) 588-6846
Fax(773) 588-6847
Organization SubpartNo
Authorized OfficialKajorndej KomutanonPresident · (847) 966-1957
Enumeration DateApril 30, 2008
✔ NPI 1710153762 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 AVENUE, Chicago, IL 60625
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Other Identifiers 3

Medicare UPINC42202
Medicaid036046966IL
Medicare OSCAR/certification485150

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MRS. RAPEEPAN S KOMUTANON MD
Pediatrics
3218 W LAWRENCE AVENUE
CHICAGO, IL 60625
Cook County (773) 588-6846

Frequently Asked Questions

What is KAJORNDEJ KOMUTANON MD SC's NPI number?

The NPI number assigned to this healthcare provider is 1710153762, enumerated as an "organization" on April 30, 2008.

Where is the provider located?

The provider is located at 3218 W LAWRENCE AVENUE CHICAGO, IL 60625 and the phone number is (773) 588-6846.

What is the provider's specialty?

Allergy & Immunology with taxonomy code 207KA0200X and a focus in Allergy.

What insurance does KAJORNDEJ KOMUTANON MD SC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.