Individual
JEFFERY JOHN KAMYSZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S ROSELLE RD, 2ND FLOOR, SCHAUMBURG, IL 60193-3175
(312) 420-8414
Mailing address
5514 W ARDMORE AVE, CHICAGO, IL 60646-6506
(847) 477-8029
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036083315
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036-083315
IL
208D00000X
General Practice Physician
Primary
036.083315
IL
Other
Enumeration date
07/02/2007
Last updated
06/25/2012
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