Individual
JANICE L KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
852 S WEST ST, NAPERVILLE, IL 60540-6400
(630) 305-5500
Mailing address
852 S WEST ST, NAPERVILLE, IL 60540-6400
(630) 305-5500
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036-094647
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094647 1
—
IL
01
—
2220936
BCBS
IL
Enumeration date
01/04/2008
Last updated
03/10/2009
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