| Mohin T Samaraweera Md Sc Plainfield Medical Center | |
|
24016 W Main St Plainfield IL 60544-2232 | |
| (815) 436-7303 | |
| (815) 609-7980 |
| Full Name | Mohin T Samaraweera Md Sc Plainfield Medical Center |
|---|---|
| Speciality | General Practice |
| Location | 24016 W Main St, Plainfield, Illinois |
| Authorized Official Name and Position | Mohin Tissa Samaraweera (DIRECTOR) |
| Authorized Official Contact | 8154367303 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohin T Samaraweera Md Sc Plainfield Medical Center 24016 W Main St Plainfield IL 60544-2232 Ph: (815) 436-7303 | Mohin T Samaraweera Md Sc Plainfield Medical Center 24016 W Main St Plainfield IL 60544-2232 Ph: (815) 436-7303 |
| NPI Number | 1821112046 |
|---|---|
| Provider Enumeration Date | 03/16/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821112046 | NPI | - | NPPES |
| 9900490 | Other | IL | BC BS OF IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 36048836 (Illinois) | Primary |
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