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Individual

DR. SCOTT M KASZUBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1247 RICKERT DR, NAPERVILLE, IL 60540-1008
(630) 420-2323
(630) 420-8822
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036117511
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
620476822
TAX ID
Enumeration date
06/27/2006
Last updated
08/09/2023
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