Organization
JAMES L. SWINGLER M.D. GYNECOLOGY & OBSTETRICS S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LEE SWINGLER M.D. (OWNER)
(309) 692-0128
Entity
Organization
Contact information
Practice address
7501 N UNIVERSITY ST, SUITE 113, PEORIA, IL 61614-1222
(309) 692-0128
(309) 692-0193
Mailing address
7501 N UNIVERSITY ST, SUITE 113, PEORIA, IL 61614-1222
(309) 692-0128
(309) 692-0193
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036062855
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062855
—
IL
01
—
7228140
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
Enumeration date
02/25/2011
Last updated
02/25/2011
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