Individual
KIRK ANTHONY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 S HENNEPIN AVE, DIXON, IL 61021-3013
(815) 285-8520
(815) 285-8520
Mailing address
102 S HENNEPIN AVE, DIXON, IL 61021-3013
(815) 285-8520
(815) 285-8520
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125077218
IL
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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