Individual
DR. JAYME KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 842-2828
Mailing address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.149594
IL
208000000X
Pediatrics Physician
036.149594
IL
Other
Enumeration date
04/01/2015
Last updated
06/28/2019
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