Il S Kwak Md Inc in Fort Wayne - Specialist
Il S Kwak Md Inc - NPI 1134318447
Il S Kwak Md Inc is a Specialist in Fort Wayne, Indiana. Il S Kwak Md Inc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Il S Kwak Md Inc is 1134318447. The last update date is 2010-07-08.
Il S Kwak Md Inc's current location address is 2222 Timberbrook Trl, Fort Wayne, Indiana. You can contact this provider via phone number 2606373939 and fax number 2606373939. The mailing address for Il S Kwak Md Inc is 2222 Timberbrook Trl, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Il S Kwak Md Inc |
|---|---|
| Address | 2222 Timberbrook Trl, Fort Wayne, Indiana |
| Phone Number | 2606373939 |
| Fax Number | 2606373939 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kwak S Il |
| Credentials | M.D |
| Telephone Number | 2606373939 |
NPI Number Detail
| NPI Number | 1134318447 |
|---|---|
| Provider Enumeration Date | 2007-10-23 |
| Last Updated Date | 2010-07-08 |
Provider Mailing Address Detail
| Address | 2222 Timberbrook Trl |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 46845 |
| Phone Number | 2606373939 |
| Fax Number | 2606373939 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 01026132A |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100054590A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Il S Kwak Md Inc by the Centers for Medicare & Medicaid Services?
The Il S Kwak Md Inc has been assigned the NPI (National Provider Identifier) 1134318447 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Il S Kwak Md Inc's physical address?
The Il S Kwak Md Inc is physically located at 2222 Timberbrook Trl, in the city of Fort Wayne, IN, with the postal code 46845.
What is the Il S Kwak Md Inc's specialty and taxonomy code?
The Il S Kwak Md Inc's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1134318447 to Il S Kwak Md Inc?
The Il S Kwak Md Inc received its 1134318447 assignment from the Centers for Medicare & Medicaid Services on 2007-10-23.
As of what date were the Il S Kwak Md Inc's details last updated?
The information pertaining to the Il S Kwak Md Inc, including its address, specialty, and other details, was most recently updated on 2010-07-08.
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