Individual
DONG HO GWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
47 W POLK ST STE 100275, CHICAGO, IL 60605-2000
(000) 000-0000
Mailing address
47 W POLK ST STE 100275, CHICAGO, IL 60605-2000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.160511
IL
2084P0800X
Psychiatry Physician
13832
WI
2084P0804X
Child & Adolescent Psychiatry Physician
13832
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2019
Last updated
10/06/2025
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