Organization
KWAKBEAR P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN KWAK M.D. (PRESIDENT)
(630) 636-7072
Entity
Organization
Contact information
Practice address
5011 CARPENTER AVE, OSWEGO, IL 60543-8027
(630) 636-7072
Mailing address
5011 CARPENTER AVE, OSWEGO, IL 60543-8027
(630) 636-7072
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036.120211
IL
Other
Enumeration date
02/23/2009
Last updated
06/16/2011
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