Individual
DR. ALEXANDER PONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1325 N HIGHLAND AVE, AURORA, IL 60506-1449
(630) 859-2222
Mailing address
1325 N HIGHLAND AVE, AURORA, IL 60506-1449
(631) 376-3420
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.174219
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2022
Last updated
06/03/2025
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