Individual
ALTON WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5525 S PULASKI RD, CHICAGO, IL 60629-4417
(773) 585-1955
(773) 284-5268
Mailing address
62647 COLLECTION CENTER DR, CHICAGO, IL 60693-0626
(812) 962-6407
(812) 471-9282
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036059957
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059957
—
IL
Enumeration date
12/27/2005
Last updated
07/15/2016
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