Uraiwan Tana Hompluem, MD Valid NPI

Individual provider · Pediatrics Physician · East Alton, IL

NPI

1477619278

Type

Individual (Type 1)

Primary specialty

Pediatrics Physician (Pediatrics)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208000000X

License number

036067508 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2006-12-28

Last updated

2016-04-25