Individual provider · Type 1 NPI
Teera Pittayathikhun, MD
General Practice Physician · Sparta, IL
NPI number
1144234956
Active
Practice location
211A South Burns
Sparta, IL 62286
Fax (618) 443-5036
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 36047341 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1144234956
Teera Pittayathikhun, MD's National Provider Identifier is 1144234956, issued on Jul 28, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Sparta, IL. The record was last updated on Jul 8, 2007.