Kajorndej Komutanon MD SC

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

036046966 Issued in IL

Legal business name

KAJORNDEJ KOMUTANON MD SC

Practice address

3218 W Lawrence Avenue
Chicago, IL 60625-5209

Phone

(773) 588-6846

Fax

(773) 588-6847

NPI assigned

Apr 30, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Kajorndej Komutanon, MDNPI 1528069804

Title

President

Phone

(847) 966-1957

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kajorndej Komutanon, MD

  • Allergy Physician
  • Chicago, IL
  • NPI 1528069804
  Authorized official Same address or phone
• Rapeepan S Komutanon, MD

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1952468985
  NPD (past)

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1710153762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6543 W ALBERT AVENUE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531402",
            "telephone_number": "847-966-1957",
            "fax_number": "847-966-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 W LAWRENCE AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606255209",
            "telephone_number": "773-588-6846",
            "fax_number": "773-588-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAJORNDEJ KOMUTANON MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "KOMUTANON",
        "authorized_official_first_name": "KAJORNDEJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-966-1957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "IL",
            "license": "036046966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036046966",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Batul Kaj-Carbaidwala, MBBS
• Andre A Kajdacsy-Balla, MD,PHD
• Steven K. Kajita, P.C
• Aleksandar Kajmakoski, LSW
• Kajocruise Transportation LLC
• Sophio Kakabadze, MD
• Amit Kakkar, PSY.D.
• Gaurav Kakked, MBBS
• Pramath Kakodkar, MB BCH BAO
• Cezary A Kakol, MD

• Allergy Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Allergy Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.