Provider Demographics
NPI:1164537825
Name:KWAAN, HAU (MD)
Entity Type:Individual
Prefix:
First Name:HAU
Middle Name:
Last Name:KWAAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:710 N FAIRBANKS CT STE 8258
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3013
Mailing Address - Country:US
Mailing Address - Phone:312-503-4625
Mailing Address - Fax:312-469-3638
Practice Address - Street 1:250 E SUPERIOR ST STE 5-2261
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2914
Practice Address - Country:US
Practice Address - Phone:312-695-0990
Practice Address - Fax:312-695-7814
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036040639207RH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C41540Medicare UPIN