CHALERMLARP MONGKOLSMAI, MD, Pediatric Cardiology BLOOMINGTON, IL

Contact Information

CHALERMLARP MONGKOLSMAI, MD

2206 BERRYWOOD LN
BLOOMINGTON, IL 61704-2448

Phone: 309-662-2032
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Pediatric Cardiology	2080P0202X	37	Physician/Pediatric Medicine

Indicates primary specialty

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NPI Profile & details for CHALERMLARP MONGKOLSMAI · (Female)

NPI #	`1194009415`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	10/05/2011
Last updated	10/05/2011 - About 15 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 036059805
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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CHALERMLARP MONGKOLSMAI, MD – NPI #1194009415Pediatric Cardiology

Contact Information

Specialty

Pediatric Cardiology

NPI Profile & details for CHALERMLARP MONGKOLSMAI · (Female)

Reviews for CHALERMLARP MONGKOLSMAI

CHALERMLARP MONGKOLSMAI, MD – NPI #1194009415
Pediatric Cardiology