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ALTON WONG MD SC NPI 1649452699


NPI Information

NPI: 1649452699
Provider Name: ALTON WONG MD, SC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2600 S MICHIGAN AVE
STE 403
CHICAGO, IL
ZIP 60616
Phone: (773) 585-1955
Get Directions

ALTON WONG MD, SC is a hematology and oncology internal medicine in Chicago, IL. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. ALTON WONG MD, SC NPI is 1649452699. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2600 S MICHIGAN AVE
STE 403
CHICAGO, IL
ZIP 60616-857
Phone: (773) 585-1955
Fax: (312) 674-0248

The provider's authorized official is Alton Wong .
The authorized official title is President and has the following contact phone number (312) 560-1080.

The enumeration date for this NPI number is 12/2/2007 and was last updated on 2/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & Oncology042.007690ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
131601972OTHERILLINOISBS PROV ID
21139820002MEDICARE NSCILLINOIS
3208045MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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