Nan Sethakorn

Hematology & Oncology Physician · Maywood, IL

Individual Active NPI

NPI number 1366838526

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000

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NPI record

NPI
1366838526
Entity type
Individual (Type 1)
Enumeration date
April 14, 2015
Last updated
August 29, 2022
Certified
August 29, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Hematology & Oncology Physician Primary 207RH0003X 036161510 IL
Hematology & Oncology Physician 207RH0003X 67230-20 WI

Mailing address

956 Clarence Ct Apt 1
Madison, WI 53715-2036

About Nan Sethakorn

Nan Sethakorn is a healthcare provider registered in the NPI registry with the primary taxonomy Hematology & Oncology Physician (code 207RH0003X). The practice location is 2160 S 1st Ave, Maywood, IL 60153-3328. The NPI number 1366838526 was assigned on April 14, 2015 and the record was last updated on August 29, 2022.

Nan Sethakorn lists 2 licenses in the registry: #036161510 (IL) for Hematology & Oncology Physician; #67230-20 (WI) for Hematology & Oncology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nan Sethakorn?

The NPI number is 1366838526.

What is the phone number of Nan Sethakorn?

The phone number listed for the practice location is (708) 216-9000.

Where is Nan Sethakorn located?

2160 S 1st Ave, Maywood, IL 60153-3328.

What is the taxonomy code for Nan Sethakorn?

The primary taxonomy code is 207RH0003X – Hematology & Oncology Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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