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Search › Illinois › 208600000X

Medha Suwanawongse, MD

NPI 1366452443 · on the registry since 2006 · sole proprietor

Practice

Address
121 N 13th St
Herrin, IL 62948
Phone
(618) 988-6025
Fax
(618) 988-6024
Organisation at this address
Herrin Pediatrics
Nova M. Griffith, Ph.D., Psychological Services Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
208600000X
208600000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-07-23

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