Organization
MID-ILLINOIS HEMATOLOGY ONCOLOGY ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRAMERN SRIRATANA M.D. (PRESIDENT)
(309) 452-9701
Entity
Organization
Contact information
Practice address
1606 HUNT DR, NORMAL, IL 61761-2192
(309) 452-9701
(309) 454-1957
Mailing address
1606 HUNT DR, NORMAL, IL 61761-2192
(309) 452-9701
(309) 454-1957
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
12/12/2024
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