THITAPA PETLERKWONG, DO
Internal Medicine
Active
Individual
NPI: 1285372193
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Internal Medicine | 207R00000X | Yes | 036174075 (IL) |
Frequently Asked Questions
NPI 1285372193 is the National Provider Identifier for THITAPA PETLERKWONG, DO, a Internal Medicine provider located in Peoria, IL. This NPI was enumerated on May 22, 2022.
THITAPA PETLERKWONG, DO practices at 530 NE GLEN OAK AVE, Peoria, IL 61637.
Quick Facts
- NPI
- 1285372193
- Type
- Individual
- Enumerated
- May 22, 2022
- Last Updated
- Jun 6, 2025
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