DoctorLicensePro

Dr. Kajorndej Komutanon, MD

Allergy

NPI: 1528069804 Illinois
76/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice15/15

21 years

Data Freshness6/10

Updated 4597 days ago

License Status

IllinoisActive
License #

036046966

Issued

Feb 7, 1973

Expires

Jul 31, 2029

Practice Information

Address
3218 W LAWRENCE AVE
CHICAGO, IL 60625
Phone
(773) 588-6846
In Practice Since
August 9, 2005
Data Last Updated
November 29, 2013

NPI Details

NPI Number
1528069804
Status
Active
Taxonomy Code
207KA0200X
Data sourced from CMS NPPES public database. Last verified: November 29, 2013. Report an error