Organization
GREGORY KACZMAREK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY D KACZMAREK M.D. (PRESIDENT)
(847) 679-6707
Entity
Organization
Contact information
Practice address
4905 OLD ORCHARD CTR, LOWER LEVEL, SKOKIE, IL 60077-1458
(847) 679-6707
Mailing address
4905 OLD ORCHARD CTR, LOWER LEVEL, SKOKIE, IL 60077-1458
(847) 679-6707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036081697
IL
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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