Individual
ALFRED KARNICKI JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
476 BRIAR LN, LAKE FOREST, IL 60045-3122
(847) 295-2050
Mailing address
476 BRIAR LN, LAKE FOREST, IL 60045-3122
(847) 295-2050
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036040456
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04900467
BCBSIL
IL
Enumeration date
03/28/2007
Last updated
11/13/2009
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