Mongkolsmai, Dhanasarn

Mongkolsmai, Dhanasarn is an sole proprietor health care provider with primary practice located at 2206 Berrywood Ln , Bloomington IL 61704-2448. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mongkolsmai, Dhanasarn can be contacted via phone (309) 662-2032.

Contact Information

Primary practice address
2206 Berrywood Ln Bloomington IL 61704-2448
Phone: (309) 662-2032
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036059806 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036059806 Illinois

Profile Details

NPI number 1669756060
LBN Legal business name Mongkolsmai, Dhanasarn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2011
Last updated Oct 4th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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