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Contact Information

MOHIN T SAMARAWEERA, MD
24016 W MAIN STREET
PLAINFIELD, IL60544
 Phone: 815-436-7303
 Fax: 815-609-7980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MOHIN T SAMARAWEERA · (Male)

NPI # 1295896173
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 12/22/2009 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 36048836
  • IL Medicaid 03L048836
  • IL Other 9900490 BC BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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