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Individual

ABDUL MONEM SWIED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
751 N RUTLEDGE ST STE 1100, SPRINGFIELD, IL 62702-4968
(217) 545-8000
(217) 788-5459
Mailing address
PO BOX 19636, SPRINGFIELD, IL 62794-9636
(217) 545-8000
(217) 788-5459

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036091548
IL
207RG0100X
Gastroenterology Physician
118062
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036-091548
STATE LICENSE
IL
Enumeration date
04/11/2017
Last updated
11/11/2019
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