Individual
MR. MARIUSZ TOMASZ KOZIOL I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 BIESTERFIELD RD, SUITE 306 - WIMMER BUILDING, ELK GROVE VILLAGE, IL 60007-3378
(847) 357-1144
(847) 357-9449
Mailing address
810 BIESTERFIELD RD STE 306, ELK GROVE VILLAGE, IL 60007-3311
(847) 357-1144
(847) 357-9449
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036.118758
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
036118758
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036118758-1
—
IL
01
—
11790234
CAQH
—
Enumeration date
05/22/2007
Last updated
11/19/2025
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