OrganizationActive
Il S Kwak MD Inc
NPI 1134318447 · Specialist · Fort Wayne, IN
Provider details
- NPI number
- 1134318447
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Il Kwak, President(260) 637-3939
- License
- 01026132A (IN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2222 Timberbrook Trl
Fort Wayne, IN 46845-9530
Phone: (260) 637-3939
Fax: (260) 637-3939
Street-level locationGet directions
Mailing address
2222 Timberbrook Trl
Fort Wayne, IN 46845
Registry dates
- Enumerated
- 2007-10-23
- Last updated
- 2010-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.