Individual
BEATA ZOSIA KOWALCZYK BUDZIAKOWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3115 N HARLEM, STE 201, CHICAGO, IL 60634
(773) 889-0355
(773) 889-0803
Mailing address
720 N BROADWAY, PARK RIDGE, IL 60068
(847) 823-3583
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036105542
IL
Other
Enumeration date
07/12/2006
Last updated
08/18/2012
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