Individual
MRS. DANIELLE ELIZABETH KWONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
310 N HAMMES AVE, STE 202, JOLIET, IL 60435-8118
(815) 741-2201
(815) 741-2285
Mailing address
PO BOX 3997, JOLIET, IL 60434-3997
(815) 741-2201
(815) 741-2285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
385000655
IL
Other
Enumeration date
08/30/2006
Last updated
05/06/2016
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