| Surasak Pratuangtham, MD | |
|
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
| (708) 727-1267 | |
| Not Available |
| Full Name | Surasak Pratuangtham |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Infectious Diseases |
| Location | 4440 W 95th St, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639164601 | NPI | - | NPPES |
| 01626483 | Other | IL | BCBS PROVIDER ID |
| 036085443 | Medicaid | IL | |
| 25601 | Other | IL | ADVOCATE HLTH PARTNERS ID |
| 200331500A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0208X | Pediatrics - Pediatric Infectious Diseases | 036085443 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Surasak Pratuangtham, MD 8100 W 119th St Ste 400, Palos Park, IL 60464-3080 Ph: (708) 361-3300 | Surasak Pratuangtham, MD 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 727-1267 |
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 |