Individual
DANISH THAMEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1212
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3909
(217) 366-1326
(217) 366-6106
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036115891
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-115891
STATE MEDICAL LICENSE
IL
Enumeration date
06/02/2006
Last updated
02/20/2024
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