Individual
DR. GEORGE HEVESY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036067438
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036067438
BCILLINOIS
—
05
—
036067438
—
IL
01
—
143260
IHS
—
05
—
1924670
—
IA
05
—
2924670
—
IL
01
—
362739299-001
TRICARE/HEALTH NET
—
01
—
91489
BCWELLMARK WEST
—
01
—
930031168
RR MEDICARE
—
01
—
98154
BCWELLMARK 7TH
—
01
—
IL0181
JOHN DEERE
—
01
—
K02867
WPS
IL
Enumeration date
03/24/2006
Last updated
10/31/2007
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