Individual
JOHN W KAMYSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
408 HILLCREST DR, PROSPECT HEIGHTS, IL 60070-1311
(847) 409-9729
(847) 463-6261
Mailing address
408 HILLCREST DR, PROSPECT HEIGHTS, IL 60070-1311
(847) 409-9729
(847) 463-6261
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036084688
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084688
—
IL
01
—
202926
GROUP PTAN
IL
01
—
212545
GROUP PTAN
IL
01
—
4923631
BCBS ID
IL
Enumeration date
10/25/2006
Last updated
09/23/2011
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