institution
Mohin T Samaraweera Md Sc Plainfield Medical Center
General Practice Physician in Plainfield, Illinois
NPI 1821112046

Mohin T Samaraweera Md Sc Plainfield Medical Center is a General Practice Physician based in Plainfield, IL. Mohin T Samaraweera Md Sc Plainfield Medical Center practices in Plainfield, IL. The NPI Number for Mohin T Samaraweera Md Sc Plainfield Medical Center is 1821112046 and holds a License No. 36048836 (Illinois).

The current practice location address for Mohin T Samaraweera Md Sc Plainfield Medical Center is 24016 W Main St, Plainfield, IL and can be reached out via phone at 815-436-7303 and via fax at 815-609-7980.

Location: 24016 W Main St, Plainfield, IL, 60544-2232
institution
Provider Profile Details
NPI Number
1821112046
Provider Name
Mohin T Samaraweera Md Sc Plainfield Medical Center
Credential
Provider Entity Type
Organization
Address
24016 W Main St, Plainfield, IL, 60544-2232
Phone Number
815-436-7303
Fax Number
815-609-7980
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9900490 01 IL BC BS OF IL
institution
Provider Business Practice Location Address Details
Address
24016 W Main St
City
State
Zip
60544-2232
Phone Number
815-436-7303
Fax Number
815-609-7980
person
Provider Business Mailing Address Details
Address
24016 W Main St
City
State
Zip
60544-2232
Phone Number
815-436-7303
Fax Number
815-609-7980
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
36048836 (Illinois)
Definition
Definition to come...
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