Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nattanicha Wattananimitgul

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255156626

Nattanicha Wattananimitgul is a Student in an Organized Health Care Education/Training Program in Maywood, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-7766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1255156626
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 20, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

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