Individual
DR. JAMES B KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1016 N LAKE SHORE DR, ROUND LAKE BEACH, IL 60073-2745
(847) 546-4725
(847) 546-4850
Mailing address
1016 N LAKE SHORE DR, ROUND LAKE BEACH, IL 60073-2745
(847) 546-4725
(847) 546-4850
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019015397
IL
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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