DR. MEG MICHELLE KWAK (NPI# 1851441299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851441299 |
| Entity Type | Individual |
| Full Name | DR. MEG MICHELLE KWAK |
| Credential | PHD |
| Practice Address |
1655 N Arlington Heights Rd Suite 304-e Arlington Heights IL 60004-3982 |
| Mailing Address |
1320 Big Sur Pkwy Algonquin IL 60102-5412 |
| Practice Telephone | 8476700880 |
| Mailing Telephone | 8474586529 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
060-005216 | IL | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
060-005216 | IL | Behavioral Health & Social Service Providers |
| N | 103TS0200X |
Psychologist Specialization: School |
060-005216 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/ BLUE SHIELD | 1673285 | 01 |
| Street Address |
1655 N ARLINGTON HEIGHTS RD SUITE 304-E |
| City | ARLINGTON HEIGHTS |
| State | IL |
| Zip Code | 60004-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083692719 | Laurie B. Goldman | Psychiatry & Neurology | 1655 N Arlington Heights Rd, Suite 301w, Arlington Heights, IL 60004-3982 | 2006-01-03 |
| 1245687086 | Joan I Wood, LLC | Psychologist | 1655 N Arlington Heights Rd, Suite #304, Arlington Heights, IL 60004-3982 | 2016-05-23 |
| 1922453661 | Kj Wellness, Inc | Counselor | 1655 N Arlington Heights Rd, Suite 202e, Arlington Heights, IL 60004-3982 | 2016-05-02 |
| 1073988747 | Ellen Kraemer | Psychologist | 1655 N Arlington Heights Rd, Suite 203e, Arlington Heights, IL 60004-3982 | 2015-12-07 |
| 1437525482 | Cpr Medical Billing Assoc. Inc | Voluntary or Charitable | 1655 N Arlington Heights Rd, 203e, Arlington Heights, IL 60004-3982 | 2015-08-13 |
| 1497131528 | Integrative Psychiatric Services Ltd | Psychiatry & Neurology | 1655 N Arlington Heights Rd, Suite 301w, Arlington Heights, IL 60004-3982 | 2015-07-30 |
| 1881088912 | Noel Widholm | Social Worker | 1655 N Arlington Heights Rd, Suite 102 E, Arlington Heights, IL 60004-3982 | 2015-03-26 |
| 1083013213 | Courtney Jo Kloberdanz | Dentist | 1655 N Arlington Heights Rd, Suite 200e, Arlington Heights, IL 60004-3982 | 2014-08-13 |
| 1134537715 | Feed To Succeed | Dietitian, Registered | 1655 N Arlington Heights Rd, Suite 203e, Arlington Heights, IL 60004-3982 | 2014-07-28 |
| 1043633134 | Sherry Sue Smith | Social Worker | 1655 N Arlington Heights Rd, Suite 304, Arlington Heights, IL 60004-3982 | 2014-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659638 | Wayne L. Tsutsumi | Technician | 1106 E. Mayfair Road, Arlington Heights, IL 60004 | 2019-10-04 |
| 1598275562 | Tyler James Kostecki | Physician Assistant | 3405 North Arlington Heights Road, Arlington Heights, IL 60004 | 2017-10-04 |
| 1104345628 | Diane Kaffka | Speech-Language Pathologist | 2330 N. Verde Ave, Arlington Heights, IL 60004 | 2017-09-15 |
| 1508302373 | Maureen O'connor I | Behavioral Analyst | 3385 N Arlighton Heights Road, Arlighton Heights, IL 60004 | 2017-01-17 |
| 1366985210 | Brian Zulawinski, Dds, LLC | Dentist | 15 N. Arlington Heights Rd, Arlington Heights, IL 60004 | 2016-11-28 |
| 1568918282 | Andrea M Doshi | Speech-Language Pathologist | 1965 N Oakwood Drive, Arlington Heights, IL 60004 | 2016-09-01 |
| 1932514437 | Prone Solutions Inc. | Durable Medical Equipment & Medical Supplies | 126 South Dwyer Avenue, Arlington Heights, IL 60004 | 2014-06-24 |
| 1255751251 | Joann F. Hamm, O.d., P.C. | Optometrist | 1504 N. Arlington Heights Rd., Arlington Heights, IL 60004 | 2014-04-17 |
| 1669891602 | N Joshi Md Sc | Psychiatry & Neurology | 1430 N. Arlington Heights Road Suite 205, Arlington Heights, IL 60004 | 2014-04-07 |
| 1891123329 | Dana Portman | Pharmacist | 325 Palatine Road, Arlington Heights, IL 60004 | 2013-10-18 |
| Find all providers in zip 60004 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386857985 | Laurie Helen Philipps | Psychologist | 1226 N Dunton Ave, Arlington Heights, IL 60004-4725 | 2007-05-08 |
| 1417321274 | Jill Schoeneman-parker, P.C. | Psychologist | 3295 N Arlington Heights Rd, Suite 108, Arlington Heights, IL 60004-1565 | 2015-11-17 |
| 1699846006 | Jill Louise Schoeneman-parker | Psychologist | 1655 N Arlington Heights Rd, Suite 304-e, Arlington Heights, IL 60004-3982 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441603 | Jasmine Dominique Jones | Psychologist | 19041 Willow Ave, Country Club Hills, IL 60478-5740 | 2019-11-18 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1235647470 | Laurie Gayes Thompson | Psychologist | 225 E Chicago Ave # 2, Chicago, IL 60611-2991 | 2018-01-22 |
| 1558874891 | Claire Ashling Coyne | Psychologist | 225 E Chicago Ave # 10b, Chicago, IL 60611-2991 | 2017-11-08 |
| 1659721967 | Micah Ioffe | Psychologist | 1300 W Belmont Ave Ste 501, Chicago, IL 60657 | 2016-06-16 |
| 1609243856 | Humboldt Behavioral Health Group | Psychologist | 3317 W Le Moyne St, Chicago, IL 60651-2452 | 2015-08-24 |
| 1003156928 | Early Autism Project, Inc. | Psychologist | 599 Falling Waters Way, Lindenhurst, IL 60046-1703 | 2013-03-01 |
| 1659610491 | Alexandra M Psihogios | Psychologist | 1110 W Columbia Ave, Apt 1n, Chicago, IL 60626-4522 | 2013-02-13 |
| 1265781934 | Anthony Thomas Vesco | Psychologist | 225 E Chicago Ave # 10a, Chicago, IL 60611-2991 | 2012-09-10 |
| 1891044038 | Irma Porcic Khelghati | Psychologist | 1200 Harger Rd Ste 600, Oak Brook, IL 60523-1820 | 2012-09-04 |
| Find all providers with the same taxonomy | ||||
| City | ARLINGTON HEIGHTS |
| Zip Code | 60004 |
Please comment or provide details below to improve the information on DR. MEG MICHELLE KWAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.