Individual
DR. STEPHEN BYUNGCHUL KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7847
Mailing address
1000 N WESTMORELAND RD, LAKE FOREST, IL 60045-1658
(847) 234-5600
(847) 535-7847
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OT016043
PA
2085R0202X
Diagnostic Radiology Physician
Primary
036152630
IL
2085R0202X
Diagnostic Radiology Physician
125066173
IL
Other
Enumeration date
03/31/2014
Last updated
09/24/2020
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