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Individual

DR. ANTHONY WING-YUI KAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
2160 S. FIRST AVE, DEPT OF NEUROLOGICAL SURGERY, MAYWOOD, IL 60153-3328
(708) 216-3208
Mailing address
2160 S. FIRST AVENUE, DEPT OF NEUROLOGICAL SURGERY, MAYWOOD, IL 60153-3328
(708) 216-3208

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036132754
IL
2085R0204X
Vascular & Interventional Radiology Physician
0101232119
VA
2085R0204X
Vascular & Interventional Radiology Physician
D0058955
MD
2085R0204X
Vascular & Interventional Radiology Physician
MD070661L
PA
2085R0204X
Vascular & Interventional Radiology Physician
MD33663
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
018069600
MD
Enumeration date
10/04/2006
Last updated
05/21/2022
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