Individual
JUSTIN KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-7830
Mailing address
2400 N ROCKTON AVE, ROCKFORD HEALTH PHYSICIANS, ROCKFORD, IL 61103-3655
(815) 971-5000
(815) 968-7830
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.120211
IL
208M00000X
Hospitalist Physician
036120211
IL
Other
Enumeration date
08/21/2008
Last updated
08/27/2014
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