Mr Sunthorn Muangmingsuk, MD | |
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
(708) 684-5580 | |
(708) 684-4068 |
Full Name | Mr Sunthorn Muangmingsuk |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Cardiology |
Location | 4440 W 95th St, Oak Lawn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174504880 | NPI | - | NPPES |
200445700 | Medicaid | IN | |
036093897 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0202X | Pediatrics - Pediatric Cardiology | 036093897 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Mr Sunthorn Muangmingsuk, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Mr Sunthorn Muangmingsuk, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 684-5580 |
Dr. Saad Ahmed Siddiqui, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 | |
Karla Katherine Wehrheim, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4440 West 95th Street, Pediatric Cardiology, Oak Lawn, IL 60453 Phone: 708-648-5580 Fax: 708-684-4068 | |
Dr. Alexander James Javois, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Dr. Naveen Imran, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Ms. Samrita Sawhney, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4220 W 95th St, Oak Lawn, IL 60453 Phone: 312-949-4200 Fax: 708-423-1899 | |
Daniella Nana Owusuwaah, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4220 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5341 | |
Dr. Verlainna Cathleen-shaw Callentine, M.D., M.ED. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-4007 |