Individual
MR. JAMES LEE SWINGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7501 N UNIVERSITY, SUITE 113, PEORIA, IL 61614-1234
(309) 692-0072
(309) 692-0193
Mailing address
2419 W CORNERSTONE CT, PEORIA, IL 61614-2529
(309) 692-2025
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036062855
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062855
—
IL
01
—
7228140
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
08/04/2006
Last updated
08/13/2020
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