Individual
MR. CLAUDE P OWIKOTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
23813 E 3200 NORTH RD, DWIGHT, IL 60420-8144
(815) 584-2806
(815) 584-3227
Mailing address
1696 WILLIAM DR, ROMEOVILLE, IL 60446-1464
(815) 609-3804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85003157
IL
Other
Enumeration date
02/24/2008
Last updated
02/24/2008
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