SearchIllinois225100000X

Jonathon Swanson

NPI 1972850162 · on the registry since 2012

Practice

Address
604 Sw 3rd St
Aledo, IL 61231
Phone
(309) 574-3015
Fax
(309) 574-3017

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-07

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