Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. CHALERMLARP MONGKOLSMAI, M.D.
Active Sole ProprietorMRS. CHALERMLARP MONGKOLSMAI, M.D. is a Pediatric Cardiology healthcare provider located in BLOOMINGTON, Illinois. NPI 1194009415 is currently active in the NPPES registry. Verify at CMS.
Pediatric Cardiology · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1194009415
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 5, 2011 (14.889935010737 yrs)
- Last Updated
- Oct 5, 2011
- License
-
036059805 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2206 BERRYWOOD LNBLOOMINGTON, IL, 617042448Browse IL providers · Browse ZIP 61704
- Phone
- 3096622032
- Primary Specialty
-
Pediatric Cardiology
2080P0202X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.