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1821766221
MATT VATANATUNYAKUM
SCHAUMBURG, IL
NPI
1821766221
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209025739)
Enumeration Date
2021-08-31
Last Update Date
2022-11-17
Business Address
MATT VATANATUNYAKUM
519 S ROSELLE RD
SCHAUMBURG, IL 60193-2925
Phone number: 847-985-0600
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Mailing Address
MATT VATANATUNYAKUM
519 S ROSELLE RD
SCHAUMBURG, IL 60193-2925
Phone number: 847-985-0600
Copy
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