Individual
DR. WILLIAM EDWARD KOLBUSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1034 WARREN AVE, DOWNERS GROVE, IL 60515-3601
(630) 964-3839
(630) 964-5105
Mailing address
1034 WARREN AVE, DOWNERS GROVE, IL 60515-3601
(630) 964-3839
(630) 964-5105
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002232794
BLUE CROSS BLUE SHIELD ID
IL
01
—
0202290459
ASSURANT HEALTH
IL
01
—
202290459 0001
CIGNA ID
IL
01
—
63310
ADVOCATE HEALTH PARTNERS
IL
Enumeration date
08/28/2006
Last updated
12/18/2007
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