SearchIllinois208600000X

Scott Wong, MD

NPI 1275604498 · on the registry since 2006

Practice

Address
6810 State Route 162 Ste 100
Maryville, IL 62062
Phone
(618) 288-3616
Fax
(618) 288-3647
Organisation at this address
Mark Fedder, Md, Pc
Mark Edelstein, Md, Pc
Sps Surgical Services, Sc
James J. Dalla Riva, Md, Pc
Anderson Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
208600000X
2086S0129X
Licence states on file
MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois