Individual
ANDREW MATTHEW KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
737 N MICHIGAN AVE STE 820, CHICAGO, IL 60611-6659
(312) 202-0300
Mailing address
235 W VAN BUREN ST UNIT 2607, CHICAGO, IL 60607-3936
(773) 814-0238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0414153938
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209029192
IL
Other
Enumeration date
11/19/2024
Last updated
03/04/2025
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