National Provider Identifier Database

SURASAK PRATUANGTHAM, MD – NPI #1639164601
Pediatric Infectious Diseases

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.


Contact Information

SURASAK PRATUANGTHAM, MD
4440 W 95TH ST
OAK LAWN, IL60453-2600
Phone: 708-727-1267
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Infectious Diseases 2080P0208X

* Indicates primary specialty

NPI Profile & details for SURASAK PRATUANGTHAM

NPI Number 1639164601
Credentials MD
Entity Individual
Enumeration date 09/15/2005
Last updated 12/22/2021 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 036085443
  • IL Medicaid: 036085443
  • IN Medicaid: 200331500A
  • IL Other: 25601 ADVOCATE HLTH PARTNERS ID
  • IL Other: 01626483 BCBS PROVIDER ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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