NPI 1275964215 JASON KWAK LISLE IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jason Kwak - NPI: 1275964215

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: JASON KWAK
NPI Number: 1275964215
Entity Type Code: Individual (1)
Gender: M
Credentials:
License Number: 070-019978
Business Practice Address: 6200 River Bend Dr
Lisle, IL - 605324511
Business Phone Number: 6303248243
Business Fax Number: 6303248270
Mailing Address: 6200 River Bend Dr,
LISLE
State: IL
Postal Code: 605324511
Phone Number: 6303248243
Fax Number: 6303248270
NPI Enumeration Date: 12/02/2013
NPI Last Update Date: 12/02/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225100000X
License Number: 070-019978
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Physical Therapist
Taxonomy Specialization:
Taxonomy Definition:
(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT


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