DR. STEPHEN BYUNGCHUL KWAK (NPI# 1831517580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831517580 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN BYUNGCHUL KWAK |
| Credential | DO |
| Practice Address |
1000 N Westmoreland Rd Lake Forest IL 60045-1658 |
| Practice Telephone | 8472345600 |
| Practice Fax Number | 8475357847 |
| Mailing Telephone | 8472345600 |
| Mailing Fax Number | 8475357847 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-09-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | OT016043 | PA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036152630 | IL | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
125066173 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1900 W. Harrison St., Dept of Radiology, Chicago, IL 60612 | 3128643826 | |
| 200 Lothrop St, Pittsburgh, PA 152132582 | 4126486062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154853729 | Stephen Kwak | Student in an Organized Health Care Education/Training Program | 1 Atwell Rd, Cooperstown, NY 13326-1301 | 2017-04-01 |
| Street Address |
1000 N WESTMORELAND RD |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025176 | Northwestern Lake Forest Hospital | General Acute Care Hospital | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2005-07-06 |
| 1528676467 | Wendy Sue Tokarz | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-07-16 |
| 1407479579 | Victoria Nguyen | Registered Nurse | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-05-24 |
| 1033739040 | Alexandra Jillayne Giedd | Student in an Organized Health Care Education/Training Program | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2020-04-20 |
| 1144867441 | Brandon Stuart Blackwood | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-12-05 |
| 1619512019 | Robert William Radtke IIi | Physician Assistant | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-11-10 |
| 1972145001 | Steffy James | Family Medicine | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-10-10 |
| 1720631559 | Brianna Nicole Selimos | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2019-07-21 |
| 1679137855 | Sylvia Joanna Wier | Plastic Surgery | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2019-04-23 |
| 1477038347 | Jennifer Nicole Nelson | Nurse Practitioner | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2018-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548457955 | Roee Lazebnik | Radiology | 275 N Field Dr, Lake Forest, IL 60045-2579 | 2007-09-29 |
| 1194741389 | Dana A Gray | Radiology | 660 N Westmoreland Rd Dept Of, Lake Forest, IL 60045-1659 | 2006-07-14 |
| 1194724542 | Unique Medical Imaging Sc | Radiology | 840 S Waukegan Rd, Suite 214, Lake Forest, IL 60045-2608 | 2005-07-19 |
| 1083103006 | Reza Dehdari Md Inc | Radiology | 22972 El Toro Rd, Lake Forest, CA 92630-4961 | 2018-05-04 |
| 1972846236 | Lioubov Soulii | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2013-04-04 |
| 1184987356 | Saudur Rahman | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2012-06-21 |
| 1063778462 | Ramanujam Govindarajan Prativadi | Radiology | 1000 N Westmoreland Rd, Radiology Department, Lake Forest, IL 60045-1658 | 2012-04-10 |
| 1205102019 | Firas Ramahi | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2012-03-26 |
| 1215101712 | Steven C Sauk | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045 | 2008-04-15 |
| 1467656041 | Deepa Nonesupplied Popuri | Radiology | 1000 N Westmoreland Rd, Lake Forest, IL 60045-1658 | 2007-06-14 |
| Find all providers in LAKE FOREST | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on DR. STEPHEN BYUNGCHUL KWAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.