Individual
GEORGE B KUZYCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N. WINFIELD RD., WINFIELD, IL 60190-1295
(630) 933-4480
(630) 933-2009
Mailing address
25 N. WINFIELD RD., WINFIELD, IL 60190-1295
(630) 933-4480
(630) 933-2009
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036040958
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036040958
—
IL
01
—
206147
MEDICARE PTAN (GROUP)
—
01
—
CA4748
RAILROAD MEDICARE PTAN (GROUP)
IL
01
—
P01077990
RAILROAD MEDICARE PTAN (INDIVIDUAL)
IL
01
—
T01703
MEDICARE PTAN (INDIVIDUAL)
—
Enumeration date
02/28/2006
Last updated
11/29/2012
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