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1841344876
PRAMOTE ANANTACHAI
HERRIN, IL
NPI
1841344876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036050261)
Enumeration Date
2007-01-23
Last Update Date
2018-05-30
Business Address
Dr. PRAMOTE ANANTACHAI MD
405 RUSHING DR
HERRIN, IL 62948-3730
Phone number: 618-993-3300
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Mailing Address
Dr. PRAMOTE ANANTACHAI MD
PO BOX 1105
INDIANAPOLIS, IN 46206-1105
Phone number: 618-549-5361
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