SearchIllinois208D00000X

Teera Pittayathikhun, MD

NPI 1144234956 · on the registry since 2006

Practice

Address
211a South Burns
Sparta, IL 62286
Phone
(618) 443-3522
Fax
(618) 443-5036

Registry record

Primary taxonomy
208D00000X
208D00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois