Individual
MR. WILLIAM THOMAS KVASNICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
5159 S ASHLAND AVE, CHICAGO, IL 60609-4931
(773) 434-9216
(773) 434-2670
Mailing address
5159 S ASHLAND AVE, CHICAGO, IL 60609-4931
(773) 434-9216
(773) 434-2670
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.004850
IL
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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