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DHANASARN MONGKOLSMAI M.D.
NPI 1669756060
Internal Medicine - Cardiovascular Disease in Bloomington, IL

Active since October 04, 2011
2206 BERRYWOOD LN, BLOOMINGTON, IL 61704(309) 662-2032 Get Directions Write a Review

NPPES record last updated: October 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dhanasarn Mongkolsmai M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DHANASARN MONGKOLSMAI M.D. (NPI 1669756060) is an individual cardiovascular disease provider in Bloomington, Illinois, licensed in Illinois (036059806) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1669756060
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDHANASARN MONGKOLSMAICredential: M.D.
Location Address2206 BERRYWOOD LNBloomington, IL 61704-2448
Mailing Address2206 Berrywood LnBloomington, IL 61704-2448 · (309) 662-2032
Phone(309) 662-2032
Sole ProprietorYes
Enumeration DateOctober 4, 2011
✔ NPI 1669756060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IL · 036059806
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036059806 (IL)
2206 BERRYWOOD LN, Bloomington, IL 61704
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Other Identifiers 1

Medicare UPINC41826IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHALERMLARP MONGKOLSMAI M.D.
Pediatrics (Pediatric Cardiology)
2206 BERRYWOOD LN
BLOOMINGTON, IL 61704
McLean County (309) 662-2032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dhanasarn Mongkolsmai's NPI number?

The NPI number for Dhanasarn Mongkolsmai is 1669756060. It was assigned to this individual provider in the NPPES registry on October 4, 2011.

Where is Dhanasarn Mongkolsmai located?

Dhanasarn Mongkolsmai practices at 2206 Berrywood Ln, Bloomington, IL 61704. The listed phone number is (309) 662-2032.

What is Dhanasarn Mongkolsmai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Dhanasarn Mongkolsmai was last updated on October 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.