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Individual

DAVID J KOWALSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 N MAPLE ST, EFFINGHAM, IL 62401-2003
(217) 342-4151
(217) 342-9336
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 528-8962

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036089116
IL
208000000X
Pediatrics Physician
036089116
IL

Other

Enumeration date
07/11/2006
Last updated
05/21/2020
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