Wimol Ann Mitrakul MD

NPI 1013066257 - Family Medicine - 207Q00000X

NPI Details
NPI 1013066257
Gender Female
Enumeration Date 01/09/2007
Last Updated 03/18/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
15728 S ROUTE 59
PLAINFIELD IL, 60544-2693, US
Phone (815) 436-8831
Fax (815) 436-6863
Business Location
15728 S ROUTE 59
PLAINFIELD IL, 60544-2693, US
Phone (815) 436-8831
Fax (815) 436-6863
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036111456
Remove 1013066257 NPI Number
 

According to our database, Wimol Ann Mitrakul MD NPI is 1013066257, taxonomy code is 207Q00000X and license number is 036111456, license state is located at Illinois. Wimol Ann Mitrakul MD physically located at 15728 S Route 59, Plainfield IL, 60544-2693. NPI Number Wimol Ann Mitrakul MD has the Individual type.

Sponsored links

1013066257 NPI number is provided on an as is basis without warranty of any kind. 1013066257 is maintained by the National Plan & Provider Enumeration System. The contents of Wimol Ann Mitrakul MD are for informational purposes only.