BHIROM BURANAKUL MD LLC
NPI 1649402702
Clinic/Center - Rural Health in Danville, IL
Active since August 21, 2009
About Bhirom Buranakul Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BHIROM BURANAKUL MD LLC (NPI 1649402702) is a healthcare organization registered as a rural health in Danville, Illinois and active in the NPI registry since August 2009. The organization lists Bhirom Buranakul, Owner, as its authorized official.
NPPES Registry Identity
NPI1649402702
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBHIROM BURANAKUL MD LLC
Location Address102 N LOGAN AVEDanville, IL 61832-8513
Mailing Address102 N Logan AveDanville, IL 61832-8513 · (217) 442-5863
Phone(217) 442-5863
Organization SubpartNo
Authorized OfficialBhirom BuranakulOwner · (217) 442-5863
Enumeration DateAugust 21, 2009
✔ NPI 1649402702 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
102 N LOGAN AVE, Danville, IL 61832
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649402702, enumerated as an "organization" on August 21, 2009.
The provider is located at 102 N LOGAN AVE DANVILLE, IL 61832 and the phone number is (217) 442-5863.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
