Kwakbear P.C.

Pediatrics Physician · Oswego, IL

Organization Active NPI

NPI number 1821238346

Practice location

5011 Carpenter Ave
Oswego, IL 60543-8027
Phone
(630) 636-7072

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NPI record

NPI
1821238346
Entity type
Organization (Type 2)
Enumeration date
February 23, 2009
Last updated
June 16, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 036.120211 IL

Authorized official

Name
Justin Kwak, M.D.
Title
President
Phone
(630) 636-7072

About Kwakbear P.C.

Kwakbear P.C. is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 5011 Carpenter Ave, Oswego, IL 60543-8027. The NPI number 1821238346 was assigned on February 23, 2009 and the record was last updated on June 16, 2011.

Kwakbear P.C. lists a license in the registry: #036.120211 (IL) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Justin Kwak, M.D., President.

Frequently asked questions

What is the NPI number of Kwakbear P.C.?

The NPI number is 1821238346.

What is the phone number of Kwakbear P.C.?

The phone number listed for the practice location is (630) 636-7072.

Where is Kwakbear P.C. located?

5011 Carpenter Ave, Oswego, IL 60543-8027.

What is the taxonomy code for Kwakbear P.C.?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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