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Pornthep Prathanvanich, M.D.
NPI 1093109308 · Surgery Physician · Maywood, IL
Pornthep Prathanvanich, M.D. is a Surgery Physician provider in Maywood, IL (NPI 1093109308).
Provider details
- NPI number
- 1093109308
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 125066961 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (888) 584-7888
Street-level locationGet directions
Mailing address
2160 S 1st Ave
Maywood, IL 60153-3328
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2015-05-29
Frequently asked questions
- What is Pornthep Prathanvanich's NPI number?
- Pornthep Prathanvanich's National Provider Identifier (NPI) is 1093109308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pornthep Prathanvanich's specialty?
- Pornthep Prathanvanich is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Pornthep Prathanvanich located?
- Pornthep Prathanvanich's practice location on file with NPPES is 2160 S 1st Ave, Maywood, IL 60153-3328.
- What is Pornthep Prathanvanich's phone number?
- The practice phone number listed in the NPPES registry for Pornthep Prathanvanich is (888) 584-7888.
- Is Pornthep Prathanvanich's NPI active?
- Yes — Pornthep Prathanvanich's NPI (1093109308) is active in the NPPES registry as of the last update on 2015-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.