CHANACHAI MEMARK (MD) – Dermatology Physician, NPI 1336116771

CHANACHAI MEMARK (MD) is a healthcare provider. based in Glen ellyn, Illinois. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 036046760 (IL). The NPI Number for CHANACHAI MEMARK (MD) is 1336116771

Main info

Male
Name
CHANACHAI MEMARK (MD)
NPI
1336116771
Phone
(630) 469-9200
Address
430 PENNSYLVANIA AVE
Enumeration Date
3 March 2006
Last Update Date
27 January 2011
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for CHANACHAI MEMARK (MD)

  • Pennsylvania Avenue, Glen Ellyn, DuPage County, Illinois, 60137, United States

    GLEN ELLYN, IL 601374464

    Phone: (630) 469-9200

    Type: Location

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606740018

    Phone: (630) 469-9200

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60137)

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Frequently asked questions

What identifier follows CHANACHAI MEMARK (MD) across health systems?
The NPI 1336116771 uniquely identifies CHANACHAI MEMARK (MD) in U.S. healthcare data.
Should I treat CHANACHAI MEMARK (MD) as an active provider?
Patients and plans typically see CHANACHAI MEMARK (MD) as active in the national extract.
How should patients interpret CHANACHAI MEMARK (MD)'s specialty?
The extract shows Dermatology Physician for CHANACHAI MEMARK (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to CHANACHAI MEMARK (MD)?
CHANACHAI MEMARK (MD) is associated with Glen Ellyn, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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