Individual
MICHELA M KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
25W230 MAYFLOWER AVE, NAPERVILLE, IL 60540-3516
(858) 699-2589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.430535
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.026086
IL
Other
Enumeration date
06/18/2022
Last updated
10/06/2025
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