IndividualActive
Chanachai Memark, MD
NPI 1336116771 · Dermatology Physician · Glen Ellyn, IL
Chanachai Memark, MD is a Dermatology Physician provider in Glen Ellyn, IL (NPI 1336116771).
Provider details
- NPI number
- 1336116771
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036046760 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone: (630) 469-9200
Street-level locationGet directions
Mailing address
1860 Paysphere Cir
Chicago, IL 60674-0018
Registry dates
- Enumerated
- 2006-03-03
- Last updated
- 2011-01-27
Frequently asked questions
- What is Chanachai Memark's NPI number?
- Chanachai Memark's National Provider Identifier (NPI) is 1336116771, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Chanachai Memark's specialty?
- Chanachai Memark is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Chanachai Memark located?
- Chanachai Memark's practice location on file with NPPES is 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464.
- What is Chanachai Memark's phone number?
- The practice phone number listed in the NPPES registry for Chanachai Memark is (630) 469-9200.
- Is Chanachai Memark's NPI active?
- Yes — Chanachai Memark's NPI (1336116771) is active in the NPPES registry as of the last update on 2011-01-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.