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Panom Phoungcherdchoo, M.D.

NPI 1366496564ActiveIndividual· Psychiatry & Neurology, Psychiatry· Forest Park, IL

Psychiatry & Neurology, Psychiatry (M.D.) in Forest Park, Illinois, licensed in IL, with an NPI issued in May 2006. Part D covered 35 prescriptions written in 2024, 69% of them generic.

Overview

NPI1366496564
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedMay 20, 2006
Last updated in NPPESMay 22, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Psychiatry & Neurology, Psychiatry Primary2084P0800X036045322IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Part D prescriptions in 2024

Prescriptions (claims)35 · 47 30-day fills
Total drug cost$8,883
Generic share69% of claims

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Psychiatry & Neurology, Psychiatry providers in Forest Park

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