Hailey M Kwak, APRN FNP-BC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

209.032204 Issued in IL

Practice address

1015 N Corporate Cir Ste D
Grayslake, IL 60030-7813

Phone

(847) 599-9900

NPI assigned

Jun 4, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1801780838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 ADDERLY LN",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314755",
            "telephone_number": "847-363-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 N CORPORATE CIR STE D",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307813",
            "telephone_number": "847-599-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "HAILEY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "209.032204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Kristoffersen, LMT
• Lanie Reichman Kuhlman, LCPC
• Emily Kujak, OTR/L
• Amanda R Kuntz, MS, ATC
• Katie Kurtz
• Julie Kwasiborski
• Lake County Counseling Center
• Lake County Physical Medicine, S.C.
• Lake Forest Endoscopy Center LLC
• Lake Medical Clinic SC

• Primary Care Nurse Practitioner in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.