PRASAN CHARIYASHOTILERT MD SC

ROCK ISLAND, IL
NPI1578618765
Entity TypeOrganization
Authorized ContactPRASAN CHARIYA
President
309-779-5000
Organization Subpart ?No
Primary Taxonomy207L00000X Anesthesiology
Enumeration Date2007-01-25
Last Update Date2007-10-29
Business Address
PRASAN CHARIYASHOTILERT MD SC
2701 17TH ST
ROCK ISLAND, IL 61201-5351
Phone number: 309-779-5000
Mailing Address
PRASAN CHARIYASHOTILERT MD SC
PO BOX 689
LAKE FOREST, IL 60045-0689
Phone number:
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