Panom Phoungcherdchoo, M.D.
NPI #1366496564 in Forest Park, Illinois
Provider Information
- NPI Number
- 1366496564
- Entity Type
- Individual
- Name
- Panom Phoungcherdchoo, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- M.D.
- Enumeration Date
- May 20, 2006
- Last Updated
- May 22, 2017
Practice Location
- Address
- 8311 ROOSEVELT RD
- City
- Forest Park
- State
- Illinois
- ZIP Code
- 60130-2529
- Phone
- (708) 771-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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