RICHARD KAMPANATKOSOL DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****50

ACTIVE

N

DO

RICHARD

KAMPANATKOSOL

RICHARD KAMPANATKOSOL DO

04/27/2010

04/22/2023

07/31/2026

OAK LAWN

IL

60453

COOK

PRACTITIONER

II III IV V

N

04/22/2023