Sandy Kwak is a Diagnostic Radiology in Aurora, Illinois. Sandy Kwak practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Sandy Kwak is 1033148291. The last update date is 2021-12-28.
Sandy Kwak's current location address is 1221 N Highland Ave, Aurora, Illinois. You can contact this provider via phone number 6308598700 and fax number 6302648428. The mailing address for Sandy Kwak is 1221 N Highland Ave, Aurora, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandy Kwak |
|---|---|
| Address | 1221 N Highland Ave, Aurora, Illinois |
| Phone Number | 6308598700 |
| Fax Number | 6302648428 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033148291 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2021-12-28 |
Provider Mailing Address Detail
| Address | 1221 N Highland Ave |
|---|---|
| City | Aurora |
| State | Illinois (IL) |
| Post Code | 6050614040 |
| Phone Number | 6308598700 |
| Fax Number | 6302648428 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 36090107 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4515143 | IL | BCBS ID# |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Sandy Kwak by the Centers for Medicare & Medicaid Services?
The Sandy Kwak has been assigned the NPI (National Provider Identifier) 1033148291 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 Sandy Kwak's physical address?
The Sandy Kwak is physically located at 1221 N Highland Ave, in the city of Aurora, IL, with the postal code 6050614040.
What is the Sandy Kwak's specialty and taxonomy code?
The Sandy Kwak's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033148291 to Sandy Kwak?
The Centers for Medicare & Medicaid Services assigned the 1033148291 to Sandy Kwak on 2006-07-01.
As of what date were the details related to Sandy Kwak most recently updated or revised?
The information pertaining to Sandy Kwak, including its address, specialty, and other relevant details, was last updated or revised on 2021-12-28.