Kwak, Tommy
Kwak, Tommy is an individual health care provider with primary practice located at 270 Center Dr Ste 120 , Vernon Hills IL 60061-1564. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kwak, Tommy can be contacted via phone (847) 200-1002.Contact Information
Primary practice address
270 Center Dr Ste 120
Vernon Hills IL 60061-1564
Phone: (847) 200-1002
Fax: (224) 298-0432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 036139684 | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036.139684 | Illinois |
Profile Details
| NPI number | 1235472820 |
|---|---|
| LBN Legal business name | Kwak, Tommy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2013 |
| Last updated | Sep 12th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235472820 | NPPES |
| Illinois | Other | 036139684 | STATE LICENSE |
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