Teera Pittayathikhun, MD
Family Medicine · Sparta, IL
UnclaimedMDNPI 1144234956
- Primary taxonomy
- 208D00000X
- Enumerated
- 2006-07-28
- Practice location
- Sparta, IL
- Last NPPES update
- 2007-07-08
State licenses
- IL · Physician · NPPES self-reportedListed on NPI record
- IL · Physician · LICENSED PHYSICIAN AND SURGEONExpiredthrough 2011
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.