Organization
MARIUSZ KOZIOL MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIUSZ TOMASZ KOZIOL M.D. (OWNER)
(847) 312-4837
Entity
Organization
Contact information
Practice address
122 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3361
(847) 357-1144
(847) 357-9449
Mailing address
122 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3657
(847) 357-1144
(847) 357-9449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.118758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063692580
BCBS
IL
Enumeration date
11/13/2007
Last updated
02/17/2009
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