Individual
DR. PATRICK HTAIN WIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 TAMARACK LN, SHILOH, IL 62269-2993
(618) 624-2060
(618) 624-2226
Mailing address
325 TAMARACK LN, SHILOH, IL 62269-2993
(618) 624-2060
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
2005001335
MO
207K00000X
Allergy & Immunology Physician
Primary
36117560
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
2005001335
MO
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
36117560
IL
Other
Enumeration date
10/03/2006
Last updated
07/26/2011
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