Tanyarat Suwannetr
Tanyarat Suwannetr is a Nurse Practitioner in Chicago, Illinois. Qualified in 2025, 1 year ago. Licensed in Illinois.
- Years since qualifying
- 1
- Licensed in
- IL
- In the registry since
- 2025
Practice location Address checks out
1653 W Congress PkwyChicago, IL 60612-3833
Phone: (312) 947-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neonatal Nurse Practitioner (primary) | Taxonomy 363LN0000X · Licence 209.033384 (IL) |
|---|
Record details
| NPI number | 1538957469 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 29, 2025 |
| Last updated in NPPES | September 25, 2025 |
| Certification date | September 25, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
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