Organization
BHIROM BURANAKUL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHIROM BURANAKUL MD (OWNER)
(217) 442-5863
Entity
Organization
Contact information
Practice address
102 N LOGAN AVE, DANVILLE, IL 61832-8513
(217) 442-5863
Mailing address
102 N LOGAN AVE, DANVILLE, IL 61832-8513
(217) 442-5863
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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