Healthcare Provider Details

I. General information

NPI: 1487282364
Provider Name (Legal Business Name): ADNAN LIAQAT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 24TH ST STE 124
ROCK ISLAND IL
61201-5394
US

IV. Provider business mailing address

2570 24TH ST STE 124
ROCK ISLAND IL
61201-5394
US

V. Phone/Fax

Practice location:
  • Phone: 309-779-7856
  • Fax:
Mailing address:
  • Phone: 309-779-7856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number036.179322
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.179322
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: