Individual
MRS. LEIGH ANN KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2111 E OAKLAND AVE STE B, BLOOMINGTON, IL 61701-5783
(309) 808-3068
Mailing address
530 NE GLEN OAK AVE, 2645, PEORIA, IL 61637-0001
(309) 655-4163
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036.153468
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2016
Last updated
11/17/2022
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