Individual
RADOSLAW KOZIOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 MADISON ST, SKOKIE, IL 60077-2584
(847) 962-1923
Mailing address
5001 MADISON ST, SKOKIE, IL 60077-2584
(847) 962-1923
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
13752724
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13752724
PRODUSER NUMBER
IL
Enumeration date
09/30/2013
Last updated
09/30/2013
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