Individual
MR. GEOFFREY THOMAS SWANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C, ATC
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(888) 584-7888
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3834
(708) 216-6223
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008580
IL
Other
Enumeration date
03/05/2021
Last updated
08/25/2022
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