Montha Suphangul, MD
Montha Suphangul, MD is an Internal Medicine Physician in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2008
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
355 Ridge AveEvanston, IL 60202-3328
Phone: (847) 316-4000
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Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 125052160 (IL) |
|---|
Record details
| NPI number | 1548424229 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 11, 2008 |
| Last updated in NPPES | July 11, 2008 |
| Mailing address | 429 Custer Ave Apt 2g, Evanston, IL 60202-2975 |
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