Individual
JIANMING DONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 MAIN ST, SUITE 250, PEORIA, IL 61602-1005
(309) 672-4522
Mailing address
5100 RELIABLE PKWY, CHICAGO, IL 60686-0001
(309) 672-4809
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036109094
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
084963
HEALTH ALLIANCE
IL
01
—
623717
HEALTHLINK
IL
01
—
7215059
BCBS PPO
IL
01
—
IL01M5
JOHN DEERE
IL
01
—
P00144763
RAILROAD MEDICARE
IL
Enumeration date
07/28/2006
Last updated
07/08/2007
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