Individual
DR. LEONARD M. KACZOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
530 PARK AVE E, PRINCETON, IL 61356
(815) 875-2811
Mailing address
530 PARK AVE E, PRINCETON, IL 61356-3901
(630) 321-8300
(630) 321-8750
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-081796
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-081796
—
IL
Enumeration date
08/30/2005
Last updated
10/15/2020
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