BHOOWIT LERTTIENDAMRONG

CHICAGO, IL
NPI1396636965
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  125.086759)
Enumeration Date2025-07-11
Last Update Date2025-07-14
Business Address
BHOOWIT LERTTIENDAMRONG
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone number: 773-564-5225
Mailing Address
BHOOWIT LERTTIENDAMRONG
4646 N MARINE DR
CHICAGO, IL 60640-5759
Phone number: 773-564-5225