Jason Kwak

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-019978 Issued in IL

Practice address

2027 87TH St Unit C
Woodridge, IL 60517-7400

Phone

(630) 783-2300

Fax

(630) 783-2900

NPI assigned

Dec 2, 2013

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• L.V. Chiropractic, Inc.

  • Chiropractor
  • Naperville, IL
  • NPI 1902122369
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275964215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6250",
            "fax_number": "630-575-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 87TH ST UNIT C",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605177400",
            "telephone_number": "630-783-2300",
            "fax_number": "630-783-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-12-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-019978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dovydas Krolis, RPH
• Gina Marie Kuhrt, PT, DPT
• Nasiha Kulsum, MD
• Ryan Patrik Kunz, PA-C
• Frances H Kurth-Spriet, P.T.
• Robert Oerik Kwak, PHARMD
• Loralie Lachtara
• Victor Salvador Lamas
• Richard Lange
• Lynsey Lattyak, LCPC

• Physical Therapist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.