Most Relevant Information
Provider Data
| NPI Number: | 1003651472 |
| Provider Name: | PICHAPA SANGSAWAD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 125.083490 |
Most Important Dates
| Enumeration Date: | 06/27/2024 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
612 N 11TH ST
QUINCY
IL
623012662
Practice Location Phone/Fax
| Phone: | 2172249484 |
| Fax: |
Provider Mailing Location
612 N 11TH ST
QUINCY
IL
623012662
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR