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

Surasak Pratuangtham, MD

Individual provider Pediatric Infectious Diseases Physician · NPI 1639164601

Surasak Pratuangtham, MD is a Pediatric Infectious Diseases Physician in Oak Lawn, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 727-1267
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Infectious Diseases Physician (primary) Taxonomy 2080P0208X · Licence 036085443 (IL)

Record details

NPI number1639164601
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 15, 2005
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021
Mailing address8100 W 119th St Ste 400, Palos Park, IL 60464-3080

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