Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. YAI SUPAWIT BURANAKUL, M.D.
Active Sole ProprietorDR. YAI SUPAWIT BURANAKUL, M.D. is a General Practice healthcare provider located in DANVILLE, Illinois. NPI 1609075027 is currently active in the NPPES registry. Verify at CMS.
General Practice · DANVILLE, IL
Registration Details
- NPI Number
- 1609075027
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 16, 2007 (19.054698813936 yrs)
- Last Updated
- Apr 5, 2023
- Licenses
-
036109576 (IL)036.109576 (IL)036-109576 (IL)036.109576 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3618 N VERMILION STDANVILLE, IL, 618321129Browse IL providers · Browse ZIP 61832
- Phone
- 2176363349
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Family Medicine
- Additional Specialty
- Pediatrics
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.