Individual
DR. SOONTORN THRUPKAEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TERMINAL DR, SUITE 8, EAST ALTON, IL 62024-2268
(618) 258-0485
(618) 258-0489
Mailing address
2 TERMINAL DR, SUITE 8, EAST ALTON, IL 62024-2268
(618) 258-0485
(618) 258-0489
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036048881
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048881
—
IL
Enumeration date
10/05/2006
Last updated
11/18/2011
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