Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Il S Kwak MD Inc

Organization Specialist · NPI 1134318447

Il S Kwak MD Inc is a Specialist in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2007.

Licensed in
IN
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2222 Timberbrook Trl
Fort Wayne, IN 46845-9530
Phone: (260) 637-3939
Fax: (260) 637-3939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 01026132A (IN)

Record details

NPI number1134318447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Il Kwak — President · (260) 637-3939
NPI enumeratedOctober 23, 2007
Last updated in NPPESJuly 8, 2010
Mailing address2222 Timberbrook Trl, Fort Wayne, IN 46845

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