Individual
DANIEL R KOWALZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12935 S. GREGORY ST., BLUE ISLAND, IL 60406
(708) 597-2000
(708) 824-4494
Mailing address
533 W NORTH AVE, 102, ELMHURST, IL 60126-2135
(800) 732-1066
(630) 941-4333
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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