Individual
DAVID J. MIKOLAJCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1900 SILVER CROSS BLVD, SILVER CROSS HOSPITAL, NEW LENOX, IL 60451-9509
(815) 740-1100
Mailing address
18021 SOUTH HUNT CLUB DRIVE, MOKENA, IL 60448
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-073719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O36073719
—
IL
Enumeration date
06/26/2006
Last updated
09/08/2016
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