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Organization

KATHY KUJAWA, M.D., S.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHY KUJAWA M.D. (PRESIDENT)
(847) 729-8833
Entity
Organization

Contact information

Practice address
2150 PFINGSTEN RD, SUITE 2200, GLENVIEW, IL 60026-1361
(847) 729-8833
(847) 729-8852
Mailing address
2150 PFINGSTEN RD, SUITE 2200, GLENVIEW, IL 60026-1361
(847) 729-8833
(847) 729-8852

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036097276
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036097276
IL
01
1634415
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/19/2006
Last updated
12/03/2009
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