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Watanachai Sujatanond

NPI 1548344997 · on the registry since 2006

Practice

Address
201 South 14th Street
Herrin, IL 62948
Phone
(618) 942-4363
Fax
(618) 942-8573
Organisation at this address
Herrin Hospital Pharmacy
Southern Illinois Healthcare
Southern Illinois Healthcare
River2 Emergency Physicians Llp
Southern Illinois Hospital Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
92

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
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