Individual
DR. JOANNA LUCJA KMIECIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4747 N HARLEM AVE UNIT F2, HARWOOD HEIGHTS, IL 60706-4666
(773) 798-5200
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 798-5200
(708) 741-1014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036131178
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125058863
STATE LICENSE
IL
Enumeration date
09/01/2010
Last updated
09/18/2025
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