Individual
JOHN J DYMOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1206 E 9TH ST, LOCKPORT, IL 60441-2404
(888) 693-6437
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-069178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036069178
—
IL
Enumeration date
08/10/2005
Last updated
08/18/2021
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