Individual
DANIEL CZARNOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-9000
Mailing address
26460 NETWORK PL, CHICAGO, IL 60673-3370
(773) 257-2820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085008845
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
06/01/2020
Last updated
09/06/2022
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