Individual
LOLA KWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
396 REMINGTON BLVD STE 260, BOLINGBROOK, IL 60440-4312
(630) 312-2590
Mailing address
396 REMINGTON BLVD STE 260, BOLINGBROOK, IL 60440-4312
(630) 312-2590
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036.125423
IL
Other
Enumeration date
01/28/2008
Last updated
01/06/2023
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