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Individual

MUHAMMED S ANWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
695 N KELLOGG ST, GALESBURG, IL 61401-2807
(309) 345-4219
Mailing address
1530 LONE OAK ROAD, PADUCAH, KY 42003-7901
(812) 444-2444

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036058324
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360583241
IL
01
300028187
RAILROAD MEDICARE
IL
Enumeration date
06/02/2006
Last updated
07/30/2015
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