Kaczkowski, Mariola

Kaczkowski, Mariola is an individual health care provider with primary practice located at 1875 Dempster St Suite 180, Park Ridge IL 60068-1186. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kaczkowski, Mariola can be contacted via phone (847) 825-0800.

Contact Information

Primary practice address
1875 Dempster St Suite 180 Park Ridge IL 60068-1186
Phone: (847) 825-0800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209008582 Illinois

Profile Details

NPI number 1861796724
LBN Legal business name Kaczkowski, Mariola
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2011
Last updated Jan 6th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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