MR. ANAWIN SANGUANKEO


Address: 4101 N Water Tower Pl, Mount Vernon, IL 62864
Phone: 6182444313

MR. ANAWIN SANGUANKEO (NPI# 1043637580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043637580
Entity Type Individual
Full Name MR. ANAWIN SANGUANKEO
Credential M.D.
Practice Address 4101 N Water Tower Pl
Mount Vernon
IL 62864
Mailing Address 4101 N Water Tower Pl
Mount Vernon
IL 62864-6296
Practice Telephone 6182444313
Practice Fax Number 6182445348
Mailing Telephone 6182444313
Mailing Fax Number 4103672258
Enumeration Date 2014-03-22
Last Update Date 2019-11-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 036147020 IL Allopathic & Osteopathic Physicians
Y 207RN0300X Internal Medicine
Specialization: Nephrology
036147020 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
1830 E Monument St Fl 4, Baltimore, MD 212870020 (410) 955-5268 4103672258
4101 N Water Tower Pl, Mount Vernon, IL 62864 6182444313 6182445348

Office Location

Street Address 4101 N WATER TOWER PL
City MOUNT VERNON
State IL
Zip Code 62864

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790779874 Crossroads Physician Corp Nurse Practitioner 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 2005-09-06
1447814405 National Healthcare of Mt Vernon Inc Clinic/Center 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 2019-04-25
1841785185 Cynthia Dawn Phillips Nurse Practitioner 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 2018-06-28
1255724043 National Healthcare of Mt. Vernon, Inc Internal Medicine 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 2015-03-18
1013334556 Sikarin Upala Internal Medicine 4101 N Water Tower Pl, Mount Vernon, IL 62864 2014-03-22
1528233681 Megan Jean Neely Internal Medicine 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 2008-04-29
1578513420 William D Huffstutler Internal Medicine 4101 N Water Tower Pl, Mount Vernon, IL 62864-6296 2006-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
Find all providers in zip 62864

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528228186 Parampreet Singh Ghuman Internal Medicine 121 S. 12th St, Ste B, Mount Vernon, WA 98274 2008-06-16
1699940874 Eugene Villanueva De Guzman Internal Medicine 208 S Hospital Pkwy, Mount Vernon, WA 98274 2008-04-28
1871775122 Matthew John Novak Internal Medicine 208 Hospital Pkwy, Mount Vernon, WA 98274 2007-11-28
1265650857 Kirandeep Khangura Internal Medicine 4113 S Water Tower Pl, Mount Vernon, IL 62864-6293 2007-04-22
1043395841 Connie L. Davis Internal Medicine 208 Hospital Parkway, Mount Vernon, WA 98274 2006-10-27
1295755114 Cheryl L Emmons Internal Medicine 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 2006-07-21
1881622504 Dongsoo Kim Internal Medicine 102 Valentine St, Mount Vernon, NY 10550-2504 2006-06-29
1215311683 Chandra Kanth Chaturvedula Internal Medicine 2 Good Samaritan Way Ste 420, Mount Vernon, IL 62864-2478 2015-07-16
1174789325 Kidney & Hypertension Clinic Pllc Internal Medicine 1617 E Division St, Mount Vernon, WA 98274-4503 2008-08-06
1871719476 Cheryl Emmons Mdsc Internal Medicine 1100 S 42nd St, Suite B, Mount Vernon, IL 62864-6216 2007-04-18
Find all providers in MOUNT VERNON

Competitor

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City MOUNT VERNON
Zip Code 62864

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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