Individual
DR. CONWAY CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
104 EAST LECLAIRE ROAD, ELDRIDGE, IA 52748
(563) 285-1380
(563) 285-1386
Mailing address
PO BOX 255, ELDRIDGE, IA 52748
(563) 285-1380
(563) 285-1386
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
2843
IA
208100000X
Physical Medicine & Rehabilitation Physician
036103691
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2843
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223891
—
IA
Enumeration date
04/07/2006
Last updated
03/04/2024
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