Individual
ANETA M KACZOWKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
890 N ROSELLE RD, HOFFMAN ESTATES, IL 60169-1850
(847) 384-8969
Mailing address
229 S SHORE DR, ISLAND LAKE, IL 60042-8463
(847) 809-9518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019.031663
IL
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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