Individual
DR. JULES T KOVELESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10640 WEST 165 STREET, ORLAND PARK, IL 60467
(708) 364-0261
(708) 364-0269
Mailing address
10640 WEST 165 STREET, ORLAND PARK, IL 60467
(708) 364-0261
(708) 364-0269
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036052720
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615936
BLUE SHIELD
IL
05
—
036052720
—
IL
01
—
130004857
RAILROAD MEDICARE
IL
Enumeration date
05/17/2006
Last updated
05/13/2009
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