Individual
MR. PHILIP KOSZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1302 FRANKLIN AVE, #4800, NORMAL, IL 61761
(309) 454-5900
(309) 454-2820
Mailing address
1302 FRANKLIN AVE, #4800, NORMAL, IL 61761
(309) 454-5900
(309) 454-2820
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036074677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074677
—
IL
Enumeration date
05/28/2006
Last updated
09/07/2007
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