Individual
DR. JAN NAMYSLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 W STRATFORD DR STE E, PEORIA, IL 61614-7300
(309) 740-4272
(309) 740-7479
Mailing address
114 W STRATFORD DR STE E, PEORIA, IL 61614-7300
(309) 740-4272
(309) 740-7479
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036115167
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036115167
IL
Other
Enumeration date
05/11/2006
Last updated
11/13/2014
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