Individual
CHIN W SWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 E NORRIS DR, OTTAWA, IL 61350
(815) 434-7473
Mailing address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5015092
BLUE SHIELD
IL
Enumeration date
01/12/2007
Last updated
07/08/2007
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