NPI Registry.org

Charles Earl Swanson

NPI Registration Record

Provider / OrganizationNPIDate Certified
CHARLES EARL SWANSON18115586382022-08-14

Charles Earl Swanson is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1811558638. Registration indicates Charles Earl Swanson is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)

Entity TypeIndividual
Provider NameDr. Charles Earl Swanson DO
Practice Office Address350 N WALL ST
KANKAKEE, IL US
Practice Office Telephone8159286274
Mailing Address1256 SIOUX TURN
KANKAKEE, IL 609018137 US
Business Telephone8156001134
HPT Codes
CodePractice
License No
State
207R00000X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Allopathic & Osteopathic Physicians
Internal MedicineAccess to Pediatric Primary Care Providers
Allopathic & Osteopathic Physicians
Internal Medicine
Internal Medicine

Allopathic & Osteopathic Physicians
Internal Medicine
Primary Care/Family Planning/APRN/PA

Internal Medicine
Allopathic & Osteopathic Physicians
036.160864
IL
OPI Codes
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