Individual
DR. JOHN OSCAR KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5669 W. 95TH ST., OAK LAWN, IL 60453-6501
(708) 499-4400
(708) 499-4407
Mailing address
5669 W. 95TH ST, OAK LAWN, IL 60453-6501
(708) 499-4400
(708) 499-4407
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-075588
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-075588
—
IL
01
—
31602848
BCBS
IL
Enumeration date
02/24/2006
Last updated
02/27/2012
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