Individual
DHANASARN MONGKOLSMAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2206 BERRYWOOD LN, BLOOMINGTON, IL 61704-2448
(309) 662-2032
Mailing address
2206 BERRYWOOD LN, BLOOMINGTON, IL 61704-2448
(309) 662-2032
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036059806
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036059806
IL
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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