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Individual

MICHAEL KOZIOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
50 TURNER AVE, SUITE 101, ELK GROVE VILLAGE, IL 60007-3957
(847) 357-3929
Mailing address
50 TURNER AVE, SUITE 101, ELK GROVE VILLAGE, IL 60007-3957
(847) 357-3929

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000916
IL

Other

Enumeration date
06/18/2011
Last updated
06/18/2011
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