person
Mr. Teera Pittayathikhun, MD
General Practice Physician in Sparta, Illinois
NPI 1144234956

Teera Pittayathikhun is a General Practice Physician based in Sparta, IL. Teera Pittayathikhun practices in Sparta, IL and has the professional credentials of MD. The NPI Number for Teera Pittayathikhun is 1144234956 and holds a License No. 36047341 (Illinois).

The current practice location address for Teera Pittayathikhun is 211A South Burns, Sparta, IL and can be reached out via phone at 618-443-3522 and via fax at 618-443-5036.

Location: 211A South Burns, Sparta, IL, 62286
person
Provider Profile Details
NPI Number
1144234956
Provider Name
Teera Pittayathikhun
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
211A South Burns, Sparta, IL, 62286
Phone Number
618-443-3522
Fax Number
618-443-5036
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
211A South Burns
City
State
Zip
62286
Phone Number
618-443-3522
Fax Number
618-443-5036
person
Provider Business Mailing Address Details
Address
211A South Burns
City
State
Zip
62286
Phone Number
618-443-3522
Fax Number
618-443-5036
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
36047341 (Illinois)
Definition
Definition to come...
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