SAMPANTA BOONJARERN

CROWN POINT, IN
NPI1073514642
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine, Nephrology
(Licence: IN  01027321A)
Enumeration Date2005-08-09
Last Update Date2009-10-05
Business Address
-- SAMPANTA BOONJARERN MD
297 FRANCISCAN DR
CROWN POINT, IN 46307-4858
Phone number: 219-622-1718
Mailing Address
-- SAMPANTA BOONJARERN MD
855 MADISON ST
OAK PARK, IL 60302-4420
Phone number: 708-492-4531
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