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NPI Code Detail

MEDICARE: DR. MARGARET BARBARA KOWALCZYK D.D.S., M.S.

MEDICARE: DR. MARGARET BARBARA KOWALCZYK D.D.S., M.S.
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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryIL

General Provider Information

NPI Number : 1306904974
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARGARET BARBARA KOWALCZYK D.D.S., M.S.
Provider Business Mailing Address
First Line : 2119 WICKLOW RD
Second Line :
City : NAPERVILLE
State : IL
Zip : 60564-3196
Country : US
Telephone Number : 630-904-5012
Fax Number :
Provider Business Practice Location Address
First Line : 230 W MARTIN AVE
Second Line :
City : NAPERVILLE
State : IL
Zip : 60540-6536
Country : US
Telephone Number : 630-355-1780
Fax Number : 630-355-7303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2006
Last Update Date : 07/08/2007

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Directions to “ DR. MARGARET BARBARA KOWALCZYK D.D.S., M.S.” Practice Location

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