Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DHANASARN MONGKOLSMAI, M.D.
Active Sole ProprietorDHANASARN MONGKOLSMAI, M.D. is a Cardiovascular Disease healthcare provider located in BLOOMINGTON, Illinois. NPI 1669756060 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · BLOOMINGTON, IL
Registration Details
- NPI Number
- 1669756060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2011 (14.876806696444 yrs)
- Last Updated
- Oct 4, 2011
- Licenses
-
036059806 (IL)036059806 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2206 BERRYWOOD LNBLOOMINGTON, IL, 617042448Browse IL providers · Browse ZIP 61704
- Phone
- 3096622032
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in BLOOMINGTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM V NOVAK | MD | 1740367895 |
| MIHAELA MONICA STANCU | MD | 1689877136 |
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.