Boon R Charoenying, MD Valid NPI

Individual provider · Obstetrics & Gynecology Physician · Crystal Lake, IL

NPI

1992004279

Type

Individual (Type 1)

Primary specialty

Obstetrics & Gynecology Physician (Obstetrics & Gynecology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207V00000X

License number

036046855 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2011-03-25

Last updated

2011-03-25