IndividualActive
Panom Phoungcherdchoo, M.D.
NPI 1366496564 · Psychiatry Physician · Forest Park, IL
Panom Phoungcherdchoo, M.D. is a Psychiatry Physician provider in Forest Park, IL (NPI 1366496564).
Provider details
- NPI number
- 1366496564
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036045322 (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
8311 Roosevelt Rd
Forest Park, IL 60130-2529
Phone: (708) 771-7000
Street-level locationGet directions
Mailing address
1745 Pavilion Way
Park Ridge, IL 60068-1163
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2017-05-22
Frequently asked questions
- What is Panom Phoungcherdchoo's NPI number?
- Panom Phoungcherdchoo's National Provider Identifier (NPI) is 1366496564, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Panom Phoungcherdchoo's specialty?
- Panom Phoungcherdchoo is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Panom Phoungcherdchoo located?
- Panom Phoungcherdchoo's practice location on file with NPPES is 8311 Roosevelt Rd, Forest Park, IL 60130-2529.
- What is Panom Phoungcherdchoo's phone number?
- The practice phone number listed in the NPPES registry for Panom Phoungcherdchoo is (708) 771-7000.
- Is Panom Phoungcherdchoo's NPI active?
- Yes — Panom Phoungcherdchoo's NPI (1366496564) is active in the NPPES registry as of the last update on 2017-05-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.