| A Pramote Md Sc | |
|
404 Lincoln Drive Herrin IL 62948 | |
| (618) 997-0166 | |
| Not Available |
| Full Name | A Pramote Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 404 Lincoln Drive, Herrin, Illinois |
| Authorized Official Name and Position | Pramote Anantachai (PRESIDENT CO OWNER) |
| Authorized Official Contact | 6199970166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Pramote Md Sc 404 Lincoln Drive Herrin IL 62948 Ph: (618) 997-0166 | A Pramote Md Sc 404 Lincoln Drive Herrin IL 62948 Ph: (618) 997-0166 |
| NPI Number | 1144395633 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144395633 | NPI | - | NPPES |
| 102992 | Other | FBL OWCP | |
| 0663336 | Other | UMWA HR FUNDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3650261 (Illinois) | Primary |
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