Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Wong, MD

Individual provider Vascular Surgery Physician · NPI 1952344509

Peter Wong, MD is a Vascular Surgery in Mount Vernon, Illinois. Graduated from Chicago College of Medicine and Surgery in 2002, 24 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
24
Trained at
Chicago College of Medicine and Surgery
Licensed in
IL, MI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2 Good Samaritan Way Ste 235
Mount Vernon, IL 62864-2476
Phone: (618) 899-3980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4069 Lake Dr Se, Grand Rapids, MI 49546-8816 — (616) 267-8700

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 036097977 (IL)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 4301076962 (MI)

Record details

NPI number1952344509
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 13, 2006
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020
Mailing addressPo Box 955860 Mc 845, Saint Louis, MO 63195-2560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolCHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated 2002 (24 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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