Kwakbear P.c.

NPI #1821238346 in Oswego, Illinois

Provider Information

NPI Number: 1821238346
Entity Type: Organization
Organization Name: Kwakbear P.c.
Primary Specialty: Pediatrics
Enumeration Date: Feb 23, 2009
Last Updated: Jun 16, 2011

Practice Location

Address: 5011 CARPENTER AVE
City: Oswego
State: Illinois
ZIP Code: 60543-8027
Phone: (630) 636-7072

Authorized Official

Name: JUSTIN KWAK, M.D.
Title: PRESIDENT
Phone: (630) 636-7072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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