| Sandy Kwak, MD | |
|
1221 N Highland Ave, Aurora, IL 60506-1404 | |
| (630) 859-8700 | |
| (630) 264-8428 |
| Full Name | Sandy Kwak |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1221 N Highland Ave, Aurora, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033148291 | NPI | - | NPPES |
| 04515143 | Other | IL | BCBS ID# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036090107 (Illinois) | Primary |
| Entity Name | Aurora Radiology Consultants, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053310417 PECOS PAC ID: 7517867997 Enrollment ID: O20040112000146 |
| Entity Name | Aurora Radiology Consultants - Dekalb Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801062831 PECOS PAC ID: 8628142106 Enrollment ID: O20080731000561 |
| Entity Name | Integrated Imaging Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700285335 PECOS PAC ID: 2567784408 Enrollment ID: O20141204001441 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003542184 PECOS PAC ID: 7810800935 Enrollment ID: O20220930002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Sandy Kwak, MD 1870 W Galena Blvd, Aurora, IL 60506-4356 Ph: (630) 859-6700 | Sandy Kwak, MD 1221 N Highland Ave, Aurora, IL 60506-1404 Ph: (630) 859-8700 |
Dr. Adam J Sanchez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1221 N Highland Ave, Aurora, IL 60506 Phone: 773-702-3550 Fax: 773-834-6237 | |
Julia Jung Choo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2000 Ogden Ave, Rush Copley Medical Center, Aurora, IL 60504 Phone: 630-978-6250 | |
John M. Plotke, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1325 North Highland Avenue, Aurora, IL 60506 Phone: 630-859-2222 | |
Dr. Salitha G Reddy, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2000 Ogden Avenue, Aurora, IL 60504 Phone: 630-978-6250 Fax: 630-978-6869 | |
David L. Gibson, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: Provena Mercy Medical Center / Pathology Department, 1325 North Highland Avenue, Aurora, IL 60506 Phone: 630-859-2222 | |
Dr. Suveer B Tatineni, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1325 N Highland Ave, Provena Mercy Medical Center/radiology Department, Aurora, IL 60506 Phone: 630-859-2222 |