| Bhirom Buranakul Md Llc | |
|
102 N Logan Ave Danville IL 61832-8513 | |
| (217) 442-5863 | |
| Not Available |
| Full Name | Bhirom Buranakul Md Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 102 N Logan Ave, Danville, Illinois |
| Authorized Official Name and Position | Bhirom Buranakul (OWNER) |
| Authorized Official Contact | 2174425863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bhirom Buranakul Md Llc 102 N Logan Ave Danville IL 61832-8513 Ph: (217) 442-5863 | Bhirom Buranakul Md Llc 102 N Logan Ave Danville IL 61832-8513 Ph: (217) 442-5863 |
| NPI Number | 1649402702 |
|---|---|
| Provider Enumeration Date | 08/21/2009 |
| Last Update Date | 08/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649402702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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