Il S Kwak MD INC

NPI #1134318447 in Fort Wayne, Indiana

Provider Information

NPI Number: 1134318447
Entity Type: Organization
Organization Name: Il S Kwak MD INC
Primary Specialty: Specialist
Enumeration Date: Oct 23, 2007
Last Updated: Jul 8, 2010

Practice Location

Address: 2222 TIMBERBROOK TRL
City: Fort Wayne
State: Indiana
ZIP Code: 46845-9530
Phone: (260) 637-3939

Authorized Official

Name: DR. IL S KWAK, M.D
Title: PRESIDENT
Phone: (260) 637-3939

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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