Panom Phoungcherdchoo, MD - Psychiatry & Neurology in Forest Park, IL

Panom Phoungcherdchoo, MD is a Psychiatry & Neurology - Psychiatry physician based in Forest Park, Illinois. Panom Phoungcherdchoo is licensed to practice in Illinois (license number 036045322) and his current practice location is 8311 Roosevelt Rd, Forest Park, Illinois. He can be reached at his office (for appointments etc.) via phone at (708) 771-7000.

NPI number for Panom Phoungcherdchoo is 1366496564 and his current mailing address is 1745 Pavilion Way, Unit 207, Park Ridge, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366496564.

Contact Information

Panom Phoungcherdchoo, MD
8311 Roosevelt Rd,
Forest Park, IL 60130-2529
(708) 771-7000
Not Available

Map and Direction




Physician's Profile

Full NamePanom Phoungcherdchoo
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location8311 Roosevelt Rd, Forest Park, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366496564
  • Provider Enumeration Date: 05/20/2006
  • Last Update Date: 05/22/2017

Medical Identifiers

Medical identifiers for Panom Phoungcherdchoo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366496564NPI-NPPES
036045322MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 036045322 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Panom Phoungcherdchoo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Panom Phoungcherdchoo, MD
1745 Pavilion Way, Unit 207,
Park Ridge, IL 60068-1163

Ph: (847) 698-3470
Panom Phoungcherdchoo, MD
8311 Roosevelt Rd,
Forest Park, IL 60130-2529

Ph: (708) 771-7000

Reviews and Comments


Psychiatry & Neurology Doctors in Forest Park, IL

Rayyan Sami, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 708-771-7000    
Aamir Safdar, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 330-758-4515    Fax: 330-758-5121
Richard Stuart Goldberg, M.D.
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 708-814-6600    Fax: 708-209-2283
Dr. Ralph Menezes, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 708-771-7000    
Dr. Daniel O Faisal, M.D.
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 630-589-4030    Fax: 630-241-1543
Indupreet Nagra, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130
Phone: 708-209-4180    Fax: 708-209-2280
Dianella V Dizon-menezes, MD
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 8311 W Roosevelt Rd, Advanced Psychiatric Services, Forest Park, IL 60130
Phone: 708-488-4968    Fax: 708-366-1017

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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