C Couropmitree MD Sc

NPI #1538362108 in Riverside, Illinois

Provider Information

NPI Number: 1538362108
Entity Type: Organization
Organization Name: C Couropmitree MD Sc
Primary Specialty: Internal Medicine
Enumeration Date: Jun 8, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3416 HARLEM AVE
City: Riverside
State: Illinois
ZIP Code: 60546-2604
Phone: (708) 442-6161

Authorized Official

Name: DR. CHAIYAPON COUROPMITREE, MD
Title: OWNER
Phone: (708) 442-6161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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