IL S KWAK MD INC
NPI 1134318447
Specialist in Fort Wayne, IN

Q: What is Il S Kwak MD Inc's NPI number?

The NPI number for Il S Kwak MD Inc is 1134318447. It was assigned to this organization in the NPPES registry on October 23, 2007.

Q: What is Il S Kwak MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Il S Kwak MD Inc was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 23, 2007

2222 TIMBERBROOK TRL, FORT WAYNE, IN 46845(260) 637-3939(260) 637-3939 Get Directions Write a Review

NPPES record last updated: July 8, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Il S Kwak Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IL S KWAK MD INC (NPI 1134318447) is a healthcare organization registered as a specialist in Fort Wayne, Indiana and active in the NPI registry since October 2007. The organization lists Il S Kwak, President, as its authorized official.

NPPES Registry Identity

NPI1134318447

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameIL S KWAK MD INC

Location Address2222 TIMBERBROOK TRLFort Wayne, IN 46845-9530

Mailing Address2222 Timberbrook TrlFort Wayne, IN 46845 · (260) 637-3939 · Fax (260) 637-3939

Phone(260) 637-3939

Fax(260) 637-3939

Organization SubpartNo

Authorized OfficialIl S KwakPresident · (260) 637-3939

Enumeration DateOctober 23, 2007

Last NPPES UpdateJuly 8, 2010

✔ NPI 1134318447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IN · 01026132A

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.

2222 TIMBERBROOK TRL, Fort Wayne, IN 46845

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Other Identifiers 3

Medicaid100054590AIN

Medicare UPINB28119IN

Medicare PIN058200IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. IL-SUNG KWAK M.D.

Anesthesiology

2222 TIMBERBROOK TRL
FORT WAYNE, IN 46845

Allen County (260) 637-3939

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Il S Kwak MD Inc's NPI number?

The NPI number for Il S Kwak MD Inc is 1134318447. It was assigned to this organization in the NPPES registry on October 23, 2007.

Where is Il S Kwak MD Inc located?

Il S Kwak MD Inc is located at 2222 Timberbrook Trl, Fort Wayne, IN 46845. The listed phone number is (260) 637-3939.

What is Il S Kwak MD Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Il S Kwak MD Inc was last updated on July 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.