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THITAPA PETLERKWONG, DO

DO

Internal Medicine Physician

NPI: 1285372193IndividualAccepts Medicare

Specialties, Licenses & Credentials

Internal Medicine PhysicianPrimary

Internal Medicine

Code: 207R00000X

036174075(IL)

CMS Specialties

Education

OTHER

Class of 2022

Contact & Hours

Address
530 NE GLEN OAK AVE
PEORIA, IL 61637

Quick Facts

NPI
1285372193
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
4

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