KEATTIYOAT WATTANAKIT

PEORIA, IL
NPI1407821077
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036126173)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MN  42286)
Enumeration Date2006-02-17
Last Update Date2010-09-27
Business Address
DR. KEATTIYOAT WATTANAKIT MD
5405 N KNOXVILLE AVE
PEORIA, IL 61614
Phone number: 309-691-4410
Mailing Address
DR. KEATTIYOAT WATTANAKIT MD
PO BOX 9382
PEORIA, IL 61612-9382
Phone number: 309-691-4410