Individual
DR. JONATHAN T. KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4338 S ARCHER AVE, CHICAGO, IL 60632
(773) 523-3160
(773) 523-7685
Mailing address
200 PEPPERIDGE CIR, STREAMWOOD, IL 60107-2228
(630) 917-1985
(773) 523-7685
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010584
IL
152WC0802X
Corneal and Contact Management Optometrist
046010584
IL
Other
Enumeration date
08/30/2012
Last updated
06/05/2018
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