Individual
DR. LARRY KENNETH KOCIOLEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4080
Mailing address
225 E CHICAGO AVE # 20, CHICAGO, IL 60611-2991
(312) 227-4080
(312) 227-9709
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
125051580
IL
Other
Enumeration date
06/14/2008
Last updated
03/04/2014
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