| Organization Name: | MANU TONGWARIN MD LTD |
| NPI Number: | 1912951849 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANU TONGWARIN (PRESIDENT) |
| Mailing Address: | 316 E Franklin St Du Quoin |
| State: | IL US |
| Postal Code: | 628322302 |
| Phone Number: | 6185428221 |
| Fax Number: | 6185428221 |
| NPI Enumeration Date: | 05/22/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |