Organization Active NPI

Dr. Pitud, M.D., Allergy and Asthma, LTD.

  • Allergy & Immunology Physician
  • Oak Forest, IL
National Provider Identifier
1043785223
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
DR. PITUD, M.D., ALLERGY AND ASTHMA, LTD.
Practice address
5601 Victoria Dr
Oak Forest, IL 60452-2134
Phone
(708) 275-9669
NPI assigned
Oct 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pitud Rangsithienchai, MDNPI 1053592477
Title
President
Phone
(773) 828-9019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

5601 Victoria Dr
Oak Forest, IL 60452-2134

Mailing address

147 Linden Ave
Oak Park, IL 60302-2610

National Provider Directory

National Provider Directory

Locations

5601 Victoria Dr
Oak Forest, IL 60452
Phone (708) 275-9669

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1043785223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 LINDEN AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 VICTORIA DR",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522134",
            "telephone_number": "708-275-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PITUD, M.D., ALLERGY AND ASTHMA, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "RANGSITHIENCHAI",
        "authorized_official_first_name": "PITUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-828-9019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.