Individual
SARA JO KOWALCZUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
233 E SUPERIOR ST FL 1, CHICAGO, IL 60611-2913
(312) 926-5741
(312) 926-4343
Mailing address
233 E SUPERIOR ST FL 1, CHICAGO, IL 60611-2913
(312) 926-5741
(312) 926-4343
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209-001291
IL
Other
Enumeration date
10/20/2006
Last updated
12/13/2019
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