KAJORNDEJ KOMUTANON MD
NPI 1528069804
Allergy & Immunology, Allergy in Morton Grove,


Quality Rating: 100 out of 100 score

NPI Status: Active since August 9, 2005

Contact Information

6543 W Albert Avenue
Morton Grove,
Post Code: 60053
Phone: (847) 966-1957
Fax: (773) 588-6847

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Kajorndej Komutanon Md in Morton Grove - Allergy & Immunology, Allergy

Kajorndej Komutanon Md is a Allergy & Immunology, Allergy in Morton Grove, . Kajorndej Komutanon Md practices all healthcare services and medical treatments related to Allergy & Immunology, Allergy. The NPI Number for Kajorndej Komutanon Md is 1528069804. The last update date is 2013-11-29.

Kajorndej Komutanon Md's current location address is 6543 W Albert Avenue, Morton Grove, . You can contact this provider via phone number (847) 966-1957 and fax number (773) 588-6847. The mailing address for Kajorndej Komutanon Md is 6543 W Albert Avenue, Morton Grove, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1528069804
Provider Name
KAJORNDEJ KOMUTANON MD
Gender
Male
Entity Type
Individual
Location Address
6543 W Albert Avenue, Morton Grove,
Location Phone
(847) 966-1957
Location Fax
(773) 588-6847
Mailing Address
3218 W Lawrence Ave, Chicago, Illinois(IL)
Mailing Phone
773-588-6846
Mailing Fax
733-588-6847
Enumeration Date
2005-08-09
Last Update Date
2013-11-29
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Allergy & Immunology, Allergy

Taxonomy Code
207KA0200X
Type
-
License No.
036046966
License State
Illinois (IL)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036046966 MEDICAID (05) Illinois (IL)

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528069804
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548061880
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2548061880
2 + 5 + 4 + 8 + 0 + 6 + 1 + 8 + 8 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4 4

The NPI number 1528069804 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

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Organization
Clinic/Center, Magnetic Resonance Imaging (MRI) 2147 S NEIL ST
CHAMPAIGN, Illinois (IL)
217-359-8339
1114920139 MARY BETH DITMAN
Individual
Nurse Practitioner, Family 1025 S 6TH ST
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