MEDICARE: DR. ANNMARIE KULEKOWSKIS DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	016005127	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841295342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNMARIE KULEKOWSKIS DPM

Provider Business Mailing Address
First Line	:	3400 W 111TH ST # 123
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60655-3330
Country	:	US
Telephone Number	:	773-248-4111
Fax Number	:	773-248-4450

Provider Business Practice Location Address
First Line	:	1044 N FRANCISCO AVE # 203
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-2743
Country	:	US
Telephone Number	:	773-824-6703
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	08/05/2024

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