Individual
KAREY MAKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 N. WINFIELD RD, WINFIELD, IL 60190
(630) 933-1600
Mailing address
25 N. WINFIELD RD, WINFIELD, IL 60190
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.009638
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041340081
MEDICAID
IL
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
206147225
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
08/09/2012
Last updated
12/02/2013
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