Organization
ANGELO SOYANGCO,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELO J SOYANGCO MD (OWNER)
(309) 343-5583
Entity
Organization
Contact information
Practice address
834 N SEMINARY ST, STE 401, GALESBURG, IL 61401-2852
(309) 343-5583
(309) 343-4276
Mailing address
834 N SEMINARY ST, STE 401, GALESBURG, IL 61401-2852
(309) 343-5583
(309) 343-4276
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036085833
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085833
—
IL
01
—
04800014
BCBS
IL
01
—
1730293986
NPI
IL
Enumeration date
02/10/2009
Last updated
02/10/2009
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