MR. CHAIYAPON COUROPMITREE (NPI# 1073624375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073624375 |
| Entity Type | Individual |
| Full Name | MR. CHAIYAPON COUROPMITREE |
| Credential | MD |
| Practice Address |
3416 Harlem Ave Riverside IL 60546-2604 |
| Practice Telephone | 7084426161 |
| Practice Fax Number | 7084427188 |
| Mailing Telephone | 7084426161 |
| Mailing Fax Number | 7084427188 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036-045186 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | STATE LICENSE NUMBER | 036-045186 | 01 |
| Street Address |
3416 HARLEM AVE |
| City | RIVERSIDE |
| State | IL |
| Zip Code | 60546-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538362108 | C Couropmitree Md Sc | Internal Medicine | 3416 Harlem Ave, Riverside, IL 60546-2604 | 2007-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700598 | Bekim Koleci | Pharmacist | 2500 South Harlem Ave, North Riverside, North Riverside, IL 60546 | 2020-11-02 |
| 1073136495 | Lydia Alejandra Robles Gomez | Internal Medicine | 3722 S Harlem Ave, Macneal Center for Internal Medi, Suite Ll 34, Riverside, IL 60546 | 2020-05-20 |
| 1770105611 | Amala Chacko | Internal Medicine | 3722 South Harlem Ave, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-05-14 |
| 1982225173 | Aneurin Cornolius Fernandez | Internal Medicine | 3722 South Harlem Ave Suite Ll34, Macneal Center for Internal Medicine, Riverside, IL 60546 | 2020-04-29 |
| 1477113264 | Amulya Reddy Kasireddy | Internal Medicine | 3722 South Harlem Macneal Center for Internal Meidicine, Suite Ll34, Riverside, IL 60546 | 2019-06-14 |
| 1336702927 | Shelden Selas Rodrigues | Internal Medicine | Macneal Center for Internal Medicine 3722 South Harlem, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1083277685 | Hasrat Sidhu | Internal Medicine | 3722 South Harlem Ave., Macneal Center for Internal Med, Suite Ll34, Riverside, IL 60546 | 2019-04-18 |
| 1972073559 | Patricia Dumke | Physical Therapist | 2518 S. Harlem Unit C, North Riverside, IL 60546 | 2018-11-27 |
| 1336639426 | Daniele Sebastiano Restifo Ortega | Internal Medicine | Macneal Center for Internal Medicine, 3722 South Harlem Ave Suite Ll34, Riverside, IL 60546 | 2018-05-14 |
| 1699263632 | Diana Alexandra Kreppel | Internal Medicine | 3722 South Harlem Avenue Macneal Center for Internal Me, Suite Ll34, Riverside, IL 60546 | 2018-04-25 |
| Find all providers in zip 60546 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548271166 | Atam Bir Singh | Internal Medicine | 5256 Mission Blvd, Riverside, CA 92509-4624 | 2006-08-10 |
| 1669856688 | Satbir Kaur Singh | Internal Medicine | 6405 Day St, Riverside, CA 92507 | 2015-07-20 |
| 1861806440 | Tharani Rajeswaran | Internal Medicine | 375 Wampanoag Trl Ste 202b, Riverside, RI 02915-2234 | 2014-06-11 |
| 1649602863 | Amanda J. Fernandes | Internal Medicine | 375 Wampanoag Trl, Riverside, RI 02915 | 2013-07-30 |
| 1376984351 | Hadi Harati | Internal Medicine | 10800 Magnolia Ave, Riverside, CA 92505-3043 | 2013-07-08 |
| 1740628874 | Jasmin Lebastchi | Internal Medicine | 375 Wampanoag Trl Ste 202b, Riverside, RI 02915-2234 | 2013-06-11 |
| 1295987543 | Vicky Cheng | Internal Medicine | 375 Wampanoag Trl Ste 202b, Riverside, RI 02915-2234 | 2008-10-17 |
| 1003081944 | Tonslyn Toure | Internal Medicine | 375 Wampanoag Trl Ste 202b, Riverside, RI 02915 | 2008-04-22 |
| 1710108881 | Sandeep Sodhi | Internal Medicine | 6405 Day St, Riverside, CA 92507-0901 | 2007-05-02 |
| 1285765792 | Harikrashna B. Bhatt | Internal Medicine | 375 Wampanoag Trl Ste 202b, Riverside, RI 02915-2234 | 2007-03-08 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.