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NPI Code Detail

MEDICARE: DR. JAMES ALLEN KOWAL PH.D.

MEDICARE:  DR. JAMES ALLEN KOWAL  PH.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
1103TC1900XCounseling Psychologist180-003245IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12223237OTHERILBCBS

General Provider Information

NPI Number : 1255348777
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES ALLEN KOWAL PH.D.
Provider Business Mailing Address
First Line : 1110 N WASHINGTON ST
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-2767
Country : US
Telephone Number : 630-637-4002
Fax Number : 630-637-4002
Provider Business Practice Location Address
First Line : 1110 N WASHINGTON ST
Second Line :
City : NAPERVILLE
State : IL
Zip : 60563-2767
Country : US
Telephone Number : 630-637-4002
Fax Number : 630-637-4002
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 10/21/2025

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