Individual
MRS. HAILEY M KWAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
1015 N CORPORATE CIR STE D, GRAYSLAKE, IL 60030-7813
(847) 599-9900
Mailing address
907 ADDERLY LN, GURNEE, IL 60031-4755
(847) 363-0390
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209.032204
IL
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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