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NPI Code Detail

MEDICARE: DANUTA KOWALSKI M.D.

MEDICARE: DANUTA KOWALSKI M.D.
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
1207R00000XInternal Medicine PhysicianIL

General Provider Information

NPI Number : 1114947926
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANUTA KOWALSKI M.D.
Provider Business Mailing Address
First Line : 2311 W 22ND ST
Second Line : SUITE 202
City : OAK BROOK
State : IL
Zip : 60523-1225
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4025 N WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3726
Country : US
Telephone Number : 773-275-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

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