Individual
MS. PATRICIA ANN KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
9669 KENTON AVE, SKOKIE, IL 60076-1266
(224) 612-2500
Mailing address
9229 N WILLOW LN, APT 2, NILES, IL 60714-1339
(224) 612-2500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164-003830
IL
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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