Mrs Chalermlarp Mongkolsmai, MD - Pediatrics in Bloomington, IL

Mrs Chalermlarp Mongkolsmai, MD is a Pediatrics - Pediatric Cardiology physician based in Bloomington, Illinois. Mrs Chalermlarp Mongkolsmai is licensed to practice in Illinois (license number 036059805) and her current practice location is 2206 Berrywood Ln, Bloomington, Illinois. She can be reached at her office (for appointments etc.) via phone at (309) 662-2032.

NPI number for Mrs Chalermlarp Mongkolsmai is 1194009415 and her current mailing address is 2206 Berrywood Ln, Bloomington, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194009415.

Contact Information

Mrs Chalermlarp Mongkolsmai, MD
2206 Berrywood Ln,
Bloomington, IL 61704-2448
(309) 662-2032
Not Available

Map and Direction




Physician's Profile

Full NameMrs Chalermlarp Mongkolsmai
GenderFemale
SpecialityPediatrics - Pediatric Cardiology
Location2206 Berrywood Ln, Bloomington, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194009415
  • Provider Enumeration Date: 10/05/2011
  • Last Update Date: 10/05/2011

Medical Identifiers

Medical identifiers for Mrs Chalermlarp Mongkolsmai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194009415NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 036059805 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Chalermlarp Mongkolsmai is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Chalermlarp Mongkolsmai, MD
2206 Berrywood Ln,
Bloomington, IL 61704-2448

Ph: (309) 662-2032
Mrs Chalermlarp Mongkolsmai, MD
2206 Berrywood Ln,
Bloomington, IL 61704-2448

Ph: (309) 662-2032

Reviews and Comments


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