IndividualActive
Surasak Pratuangtham, MD
NPI 1639164601 · Pediatric Infectious Diseases Physician · Oak Lawn, IL
Provider details
- NPI number
- 1639164601
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036085443 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 727-1267
Approximate (ZIP-level) locationGet directions
Mailing address
8100 W 119th St Ste 400
Palos Park, IL 60464-3080
Registry dates
- Enumerated
- 2005-09-15
- Last updated
- 2021-12-22
- Certified
- 2021-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.