Individual
ANTHONY HILL KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2570 24TH ST, STE124, ROCK ISLAND, IL 61201-5394
(309) 779-3670
(309) 779-3675
Mailing address
2570 24TH ST, STE124, ROCK ISLAND, IL 61201-5394
(309) 779-3670
(309) 779-3675
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036094456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036094456
BCILLINOIS
—
05
—
036094456001
—
IL
05
—
1801860861
—
IA
01
—
362739299030
TRICARE
—
01
—
4057E3
JOHN DEERE
—
01
—
96232
BCWELLMARK
—
01
—
P00053774
RR MEDICARE
—
Enumeration date
02/15/2006
Last updated
02/05/2015
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