Individual
DR. MAYTEE BOONYAPREDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 N ELM ST STE 102, HINSDALE, IL 60521-3640
(630) 495-9356
Mailing address
120 W 22ND ST STE 200, OAK BROOK, IL 60523-1563
(630) 573-5000
(630) 491-5472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-131976
IL
207R00000X
Internal Medicine Physician
D0067795
MD
207RN0300X
Nephrology Physician
Primary
036131976
IL
208M00000X
Hospitalist Physician
036-131976
IL
390200000X
Student in an Organized Health Care Education/Training Program
P19551
MI
Other
Enumeration date
01/07/2008
Last updated
01/05/2022
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