Provider Demographics
NPI:1992935670
Name:KWAN, BING KUEN (MD)
Entity type:Individual
Prefix:MR
First Name:BING
Middle Name:KUEN
Last Name:KWAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6421 WATERFORD CT.
Mailing Address - Street 2:
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-5466
Mailing Address - Country:US
Mailing Address - Phone:630-655-4418
Mailing Address - Fax:630-323-3157
Practice Address - Street 1:6421 WATERFORD CT.
Practice Address - Street 2:
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-5466
Practice Address - Country:US
Practice Address - Phone:630-655-4418
Practice Address - Fax:630-323-3157
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-046972207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology