IndividualActive
Kajorndej Komutanon, MD
NPI 1528069804 · Allergy Physician · Chicago, IL
Provider details
- NPI number
- 1528069804
- Entity type
- Individual
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 036046966 (IL)
Practice location
3218 W Lawrence Ave
Chicago, IL 60625-5209
Phone: (773) 588-6846
Fax: (733) 588-6847
Mailing address
6543 W Albert Avenue
Morton Grove, IL 60053-1402
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2013-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.