Individual
DR. JOHN TIN NGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E JEFFERY ST, CENTER BUILDING, DEPT OF BEHAVIORAL HEALTH, 3RD FLOOR, KANKAKEE, IL 60901-5018
(815) 939-8585
Mailing address
12188 BLACKTHORNE RIDGE DR, MOKENA, IL 60448-8114
(708) 479-8006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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