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Il S Kwak Md Inc
Specialist in Fort Wayne, Indiana
NPI 1134318447

Il S Kwak Md Inc is a Specialist based in Fort Wayne, IN. Il S Kwak Md Inc practices in Fort Wayne, IN. The NPI Number for Il S Kwak Md Inc is 1134318447 and holds a License No. 01026132A (Indiana).

The current practice location address for Il S Kwak Md Inc is 2222 Timberbrook Trl, Fort Wayne, IN and can be reached out via phone at 260-637-3939 and via fax at 260-637-3939.

Location: 2222 Timberbrook Trl, Fort Wayne, IN, 46845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134318447
Provider Name
Il S Kwak Md Inc
Credential
Provider Entity Type
Organization
Address
2222 Timberbrook Trl, Fort Wayne, IN, 46845
Phone Number
260-637-3939
Fax Number
260-637-3939
Provider Enumeration Date
10/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100054590A 05 IN
institution
Provider Business Practice Location Address Details
Address
2222 Timberbrook Trl
City
Fort Wayne
State
Indiana
Zip
46845-9530
Phone Number
260-637-3939
Fax Number
260-637-3939
person
Provider Business Mailing Address Details
Address
2222 Timberbrook Trl
City
Fort Wayne
State
Indiana
Zip
46845-9530
Phone Number
260-637-3939
Fax Number
260-637-3939
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
01026132A (Indiana)
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.
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