Individual
DR. DAVID MICHAEL KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
1855 W TAYLOR ST # MC648, CHICAGO, IL 60612-7242
(312) 255-8812
(312) 255-8904
Mailing address
3449 N MARSHFIELD AVE UNIT 1, CHICAGO, IL 60657-1213
(601) 937-8766
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036.147526
IL
207Y00000X
Otolaryngology Physician
T-2685
MS
Other
Enumeration date
06/29/2013
Last updated
07/09/2019
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