Kendall L Wong in Normal - Diagnostic Radiology
Kendall L Wong - NPI 1386683076
Kendall L Wong is a Diagnostic Radiology in Normal, Illinois. Kendall L Wong practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Kendall L Wong is 1386683076. The last update date is 2007-07-08.
Kendall L Wong's current location address is 2200 Fort Jesse Rd, Normal, Illinois. You can contact this provider via phone number 3094521788 and fax number 3098621302. The mailing address for Kendall L Wong is 2200 Fort Jesse Rd, Normal, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kendall L Wong |
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Address | 2200 Fort Jesse Rd, Normal, Illinois |
Phone Number | 3094521788 |
Fax Number | 3098621302 |
Sole Proprietor | X |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1386683076 |
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Provider Enumeration Date | 2006-06-06 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2200 Fort Jesse Rd |
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City | Normal |
State | Illinois (IL) |
Post Code | 617616286 |
Phone Number | 3094521788 |
Fax Number | 3098621302 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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Taxonomy | 2085R0202X |
Licence No | 36106966 |
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
036106966*1 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kendall L Wong by the Centers for Medicare & Medicaid Services?
The Kendall L Wong has been issued the NPI (National Provider Identifier) 1386683076. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kendall L Wong?
The Kendall L Wong is situated at 2200 Fort Jesse Rd, in the city of Normal, state of IL, with the zip code 617616286.
What is Kendall L Wong's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kendall L Wong's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
On what date was the 1386683076 assigned to Kendall L Wong?
The Kendall L Wong was issued its 1386683076 on 2006-06-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kendall L Wong's details last updated?
The information pertaining to the Kendall L Wong, including its address, specialty, and other details, was most recently updated on 2007-07-08.