Individual
DR. CHARLES EARL SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2991
(815) 928-6274
Mailing address
1256 SIOUX TURN, KANKAKEE, IL 60901-8137
(815) 600-1134
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.160864
IL
Other
Enumeration date
06/24/2019
Last updated
08/14/2022
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