Individual
ESTHER KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2650 RIDGE AVE., OFFICE OF THE CHIEF RESIDENT, EVANSTON, IL 60201
(847) 570-2505
(847) 570-2905
Mailing address
2650 RIDGE AVE., OFFICE OF THE CHIEF RESIDENT, EVANSTON, IL 60201
(847) 570-2505
(847) 570-2905
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036158665
IL
207R00000X
Internal Medicine Physician
125073627
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2019
Last updated
05/25/2022
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