Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Raymond Kwong, PA-C

Individual provider Surgical Physician Assistant · NPI 1104396076

Mr. Raymond Kwong, PA-C is a Physician Assistant in Rockford, Illinois. Qualified in 2018, 8 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
8
Licensed in
IL, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

444 Roxbury Rd
Rockford, IL 61107-5059
Phone: (815) 398-3000
Fax: (815) 391-5076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 Ne Glen Oak Ave, Peoria, IL 61637-1148 — (309) 655-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-006788 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 4564 (WI)

Record details

NPI number1104396076
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rockford