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Jessica M Kwak
Family Nurse Practitioner in Palos Park, Illinois
NPI 1619661063

Jessica M Kwak is a Family Nurse Practitioner based in Palos Park, IL and is specialized in Family. Jessica M Kwak practices in Palos Park, IL. The NPI Number for Jessica M Kwak is 1619661063 and holds a License No. 209.027599 (Illinois).

The current practice location address for Jessica M Kwak is 13011 S 104Th Ave Ste 100, Palos Park, IL and can be reached out via phone at 708-274-3278.

Location: 13011 S 104Th Ave Ste 100, Palos Park, IL, 60464-1506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619661063
Provider Name
Jessica M Kwak
Credential
Provider Entity Type
Individual
Gender
Female
Address
13011 S 104Th Ave Ste 100, Palos Park, IL, 60464-1506
Phone Number
708-274-3278
Fax Number
Provider Enumeration Date
06/07/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13011 S 104Th Ave Ste 100
City
Palos Park
State
Illinois
Zip
60464-1508
Phone Number
708-274-3278
Fax Number
person
Provider Business Mailing Address Details
Address
13011 S 104Th Ave Ste 100
City
Palos Park
State
Illinois
Zip
60464-1508
Phone Number
708-274-3278
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.027599 (Illinois)
Definition
Definition to come...
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