Organization · Type 2 NPI

Il S Kwak MD Inc

Specialist · Fort Wayne, IN

NPI number 1134318447 Active

Practice location

2222 Timberbrook Trl
Fort Wayne, IN 46845-9530

Call (260) 637-3939 Map

Fax (260) 637-3939

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X01026132A (IN)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1134318447

Il S Kwak MD Inc's National Provider Identifier is 1134318447, issued on Oct 23, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 8, 2010.