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Organization
DRS PICHET & MEECHAI
Active
Organization
DRS PICHET & MEECHAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PICHET SANTILUKKA MD (PARTNER)
(618) 282-3883
Entity
Organization
Contact information
Practice address
415 W S FOURTH ST, SUITE A, RED BUD, IL 62278-0168
(618) 282-3883
(618) 282-6133
Mailing address
PO BOX 168, 415 W S FOURTH ST SUITE A, RED BUD, IL 62278-0168
(618) 282-3883
(618) 282-6133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
12/31/2007
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