Dr. Thanom Temiyasathit
Internist - Cardiovascular Disease
1302 Franklin Ave Suite 4500
Normal
, Illinois 61761-3551
Dr. Thanom Temiyasathit
Internist - Cardiovascular Disease
1302 Franklin Ave Suite 4500
Normal
, Illinois 61761-3551
(309) 862-0330
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Thanom Temiyasathit
- 1302 Franklin Ave Suite 4500
- Normal, IL
- Zip : 61761-3551
- Fax : (309) 862-0330
- Phone : (309) 828-1166
Second Address
- Dr. Thanom Temiyasathit
- 1302 Franklin Ave Suite 4500
- Normal, IL
- Zip : 61761-3551
- Fax : (309) 862-0330
- Phone : (309) 828-1166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 036-054080 | IL |
National Provider Identifier
| NPI | 1023041175 |
|---|---|
| Provider Name | Dr. Thanom Temiyasathit |
| First Address | Normal, IL 61761-3551 |
| Second Address | Normal, IL 61761-3551 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 008003 | HEALTH ALLIANCE (01) | IL |
| 036054080 | (05) | IL |
| 05732097 | BC GROUP NUMBER (01) | IL |
| C44731 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.