Kwak, Melissa N
Kwak, Melissa N is an sole proprietor health care provider with primary practice located at 76 W Countryside Pkwy , Yorkville IL 60560-1967. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Kwak, Melissa N can be contacted via phone (630) 553-2722.Contact Information
Primary practice address
76 W Countryside Pkwy
Yorkville IL 60560-1967
Phone: (630) 553-2722
Fax: (630) 553-3983
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 125049891 | Illinois |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036.120260 | Illinois |
Profile Details
NPI number | 1467668111 |
---|---|
LBN Legal business name | Kwak, Melissa N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 16th, 2007 |
Last updated | Jan 31st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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