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

Panom Phoungcherdchoo, MD

Individual provider Psychiatry Physician · NPI 1366496564

Panom Phoungcherdchoo, MD is a Psychiatry Physician in Forest Park, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8311 Roosevelt Rd
Forest Park, IL 60130-2529
Phone: (708) 771-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036045322 (IL)

Record details

NPI number1366496564
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 20, 2006
Last updated in NPPESMay 22, 2017

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