Organization
ALTON WONG MD, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALTON WONG MD (PRESIDENT)
(312) 560-1080
Entity
Organization
Contact information
Practice address
2600 S MICHIGAN AVE, STE 403, CHICAGO, IL 60616-2857
(773) 585-1955
(312) 674-0248
Mailing address
PO BOX 3426, OAK PARK, IL 60303-3426
(773) 585-1955
(312) 674-0248
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
042.007690
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31601972
BS PROV ID
IL
Enumeration date
12/02/2007
Last updated
02/12/2009
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