Chanachai Memark, MD

NPI #1336116771 in Glen Ellyn, Illinois

Provider Information

NPI Number: 1336116771
Entity Type: Individual
Name: Chanachai Memark, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dermatology
Credential: MD
Enumeration Date: Mar 3, 2006
Last Updated: Jan 27, 2011

Practice Location

Address: 430 PENNSYLVANIA AVE
City: Glen Ellyn
State: Illinois
ZIP Code: 60137-4464
Phone: (630) 469-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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