Justin Kwak is a Pediatrics in Rockford, Illinois. Justin Kwak practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Justin Kwak is 1700033628. The last update date is 2014-08-27.
Justin Kwak's current location address is 2400 N Rockton Ave, Rockford, Illinois. You can contact this provider via phone number 8159715000 and fax number 8159687830. The mailing address for Justin Kwak is 2400 N Rockton Ave, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Justin Kwak |
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Address | 2400 N Rockton Ave, Rockford, Illinois |
Phone Number | 8159715000 |
Fax Number | 8159687830 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1700033628 |
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Provider Enumeration Date | 2008-08-21 |
Last Updated Date | 2014-08-27 |
Provider Mailing Address Detail
Address | 2400 N Rockton Ave |
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City | Rockford |
State | Illinois (IL) |
Post Code | 611033655 |
Phone Number | 8159715000 |
Fax Number | 8159687830 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Licence No | 36.120211 |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique identifier code issued to Justin Kwak by the Centers for Medicare & Medicaid Services?
The Justin Kwak has been assigned the NPI (National Provider Identifier) 1700033628. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Justin Kwak located?
The Justin Kwak is located at 2400 N Rockton Ave, Rockford, IL 611033655.
What is Justin Kwak's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Justin Kwak is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.
On what date did the Justin Kwak receive the assignment of its 1700033628 from the Centers for Medicare & Medicaid Services?
The Justin Kwak was issued its 1700033628 by the Centers for Medicare & Medicaid Services on 2008-08-21.
When was the Justin Kwak's information last updated?
The Justin Kwak's information was last updated on 2014-08-27.