Individual
DR. HELEN D KWONG
Active
Individual
DR. HELEN D KWONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036119937
IL
207R00000X
Internal Medicine Physician
39088
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020057300
BLACK LUNG
IL
01
—
08421024
BLUE CROSS BLUE SHIELD
IL
01
—
133586700
ACS-OWCP
IL
01
—
14D0435365
CLIA CFP
IL
01
—
14D0949277
CLIA CERT PGW
IL
01
—
6394P
CATERPILLAR
IL
01
—
CD7143
RR MEDICARE GRP
IL
Enumeration date
08/23/2006
Last updated
07/20/2012
Update your record
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