SOMPONGSE -. ANGSPATT M.D. – NPI #1174634927
Pediatrics

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.

SOMPONGSE ANGSPATT is a physician located in OAK FOREST, IL. NPPES has assigned the NPI number 1174634927 to SOMPONGSE ANGSPATT on August 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name NONE NONE. The primary taxonomy selected by this provider is 2080P0201X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Allergy/Immunology

The NPI profile was previously updated about 5 years ago on Dec 06, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOMPONGSE ANGSPATT below.

NPI Profile for
SOMPONGSE -. ANGSPATT

NPI Number
1174634927
Enumeration Date

(about 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SOMPONGSE -. ANGSPATT
Other Name: NONE NONE
Credentials
M.D.
Primary location
5601 VICTORIA DR
OAK FOREST, IL 60452-2134
Phone: (708) 687-7550 Fax: (708) 687-7552
Mailing address
3515 ITHACA RD
OLYMPIA FIELDS, IL 60461-1343
Phone: (708) 687-7550 Fax:
Sole Proprietor
No
Updated
Certification Date
Dec 06, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0201X
- Pediatrics / Pediatric Allergy/Immunology (Primary)
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.