Mr Chaiyapon Couropmitree, MD | |
3416 Harlem Ave, Riverside, IL 60546-2604 | |
(708) 442-6161 | |
(708) 442-7188 |
Full Name | Mr Chaiyapon Couropmitree |
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Gender | Male |
Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 3416 Harlem Ave, Riverside, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073624375 | NPI | - | NPPES |
036-045186 | Other | IL | STATE LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 036-045186 (Illinois) | Primary |
Entity Name | Loyola Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
Mailing Address | Practice Location Address |
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Mr Chaiyapon Couropmitree, MD 3416 Harlem Ave, Riverside, IL 60546-2604 Ph: (708) 442-6161 | Mr Chaiyapon Couropmitree, MD 3416 Harlem Ave, Riverside, IL 60546-2604 Ph: (708) 442-6161 |
Dr. Tahir Rohail, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 2910 Harlem Ave, Riverside, IL 60546 Phone: 708-447-4267 Fax: 708-447-2104 | |
Catherine Cheng, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3722 Harlem Ave Ste 101, Riverside, IL 60546 Phone: 708-783-6500 | |
Dr. Michelle Scott, MD Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 7234 Ogden Ave, Riverside, IL 60546 Phone: 708-447-1177 Fax: 708-447-1286 | |
Stanley G. Schade, M.D. Endocrinology, Diabetes & Metabolism Medicare: Not Enrolled in Medicare Practice Location: 189 North Delaplaine Road, Riverside, IL 60546 Phone: 708-447-9226 | |
Ann Bunyan, M.D Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 3722 Harlem Ave, Suite Ll34, Riverside, IL 60546 Phone: 708-783-6566 | |
Sowmya Bhashini Popuri, Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 3722 Harlem Ave, Riverside, IL 60546 Phone: 708-783-6566 Fax: 708-783-6567 |