Kirk Anthony Stewart, MD

Family Medicine in Dixon, IL. Individual provider (NPI-1).

NPI number1023626751

StatusActive

Last updated in NPPESJul 20, 2020

Details

NPI: 1023626751
Entity type: Individual (NPI-1)
Name: Kirk Anthony Stewart
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Jul 20, 2020
Certification date: Jul 20, 2020
Last updated: Jul 20, 2020

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	125077218	IL	Yes

Practice location

102 S Hennepin Ave
Dixon, IL 61021-3013

Phone 815-285-8520 · Fax 815-285-8520

Mailing address

102 S Hennepin Ave
Dixon, IL 61021-3013

Phone 815-285-8520 · Fax 815-285-8520

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Dixon, IL

All 25 Family Medicine Physician providers in Dixon · All 830 providers in Dixon

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