Organization
JOHN W. KAMYSZ, M.D.
Active
Parent organization
JOHN W. KAMYSZ, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHN W. KAMYSZ, M.D.
Authorized official
DR. JOHN W KAMYSZ M.D. (RADIOLOGIST)
(847) 848-5225
Entity
Organization
Contact information
Practice address
501 N RIVERSIDE DR STE 213, GURNEE, IL 60031-5918
(847) 625-9500
Mailing address
408 HILLCREST DR, PROSPECT HTS, IL 60070-1311
(847) 848-5225
(847) 463-6261
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
036084688
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3644070316003101
—
IL
Enumeration date
09/20/2010
Last updated
09/20/2010
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