Individual
NICOLE KWOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-3055
(312) 926-8369
(312) 926-8341
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-3055
(312) 926-8369
(312) 926-8341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041421913
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209028843
IL
Other
Enumeration date
07/18/2023
Last updated
03/12/2024
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