Individual
BEATA KACZKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2020 E GRAND AVE, LINDENHURST, IL 60046-9069
(866) 389-2727
Mailing address
2020 E GRAND AVE, LINDENHURST, IL 60046-9069
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.016308
IL
Other
Enumeration date
08/28/2017
Last updated
08/28/2017
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