Dr CHITCHAWAL SAHATEVASUKONT is a male medical professional, specializing in Nurse Practitioner. He graduated in 2012.
NORTHEAST IOWA MENTAL HEALTH CENTER
36 S FREDERICK
OELWEIN
IA
506622305
Tel: 5632835774
| Npi | 1053661074 |
| Pac Id | 9436395944 |
| Professional Enrollment Id | I20140725001915 |
| Last Name | SAHATEVASUKONT |
| First Name | CHITCHAWAL |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| All Secondary Specialties | |
| Organization Legal Name | NORTHEAST IOWA MENTAL HEALTH CENTER |
| Group Practice Pac Id | 1355230475 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 36 S FREDERICK |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | OELWEIN |
| State | IA |
| Zip Code | 506622305 |
| Phone Number | 5632835774 |
| Hospital Affiliation Ccn 1 | 520087 |
| Hospital Affiliation Lbn 1 | GUNDERSEN LUTHERAN MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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