PANOM PHOUNGCHERDCHOO (M.D.) – Psychiatry Physician, NPI 1366496564

PANOM PHOUNGCHERDCHOO (M.D.) is a healthcare provider. based in Park ridge, Illinois. specializing in Psychiatry Physician. They hold the professional credentials M.D.. They hold a License No. 036045322 (IL). The NPI Number for PANOM PHOUNGCHERDCHOO (M.D.) is 1366496564

Main info

Male
Name
PANOM PHOUNGCHERDCHOO (M.D.)
NPI
1366496564
Phone
(847) 698-3470
Address
1745 PAVILION WAY
Enumeration Date
20 May 2006
Last Update Date
22 May 2017
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 PANOM PHOUNGCHERDCHOO (M.D.)

  • 1745 PAVILION WAY

    UNIT 207

    PARK RIDGE, IL 600681163

    Phone: (847) 698-3470

    Type: Mailing

  • Riveredge Hospital, 8311, Roosevelt Road, Forest Park, Proviso Township, Cook County, Illinois, 60130, United States

    FOREST PARK, IL 601302529

    Phone: (708) 771-7000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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)

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

Insurance plans in this area (ZIP 60068)

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Frequently asked questions

How is PANOM PHOUNGCHERDCHOO (M.D.) identified in CMS data?
CMS-hosted NPPES data lists PANOM PHOUNGCHERDCHOO (M.D.) with NPI 1366496564.
Is PANOM PHOUNGCHERDCHOO (M.D.) still practicing?
PANOM PHOUNGCHERDCHOO (M.D.) is currently listed as active in the public NPI registry.
What healthcare role does PANOM PHOUNGCHERDCHOO (M.D.) hold?
Scheduling teams often label PANOM PHOUNGCHERDCHOO (M.D.) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What address line appears for PANOM PHOUNGCHERDCHOO (M.D.)?
PANOM PHOUNGCHERDCHOO (M.D.)'s geographic hint is Park Ridge, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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