| Dr Uraiwan Tana Hompluem, MD | |
|
2 Terminal Dr, Suite 8, East Alton, IL 62024-2268 | |
| (618) 259-1419 | |
| (618) 259-1502 |
| Full Name | Dr Uraiwan Tana Hompluem |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 2 Terminal Dr, East Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477619278 | NPI | - | NPPES |
| 036067508 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 036067508 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Uraiwan Tana Hompluem, MD 2 Terminal Dr, Suite 8, East Alton, IL 62024-2268 Ph: (618) 259-1419 | Dr Uraiwan Tana Hompluem, MD 2 Terminal Dr, Suite 8, East Alton, IL 62024-2268 Ph: (618) 259-1419 |
Dr. Christopher Dean Suhre, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2 Terminal Dr, Suite 8, East Alton, IL 62024 Phone: 618-259-1419 Fax: 618-259-1502 | |
Dr. Fei-tung Leu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Terminal Dr, Suite 8, East Alton, IL 62024 Phone: 618-259-1419 Fax: 618-259-1502 | |
Anupama Vallala, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2 Terminal Dr, Suite 8, East Alton, IL 62024 Phone: 618-259-1419 Fax: 618-259-1502 |