Kordzikowski, Mitchell

Kordzikowski, Mitchell is an individual health care provider with primary practice located at 3240 W Division St , Chicago IL 60651-2405. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Kordzikowski, Mitchell can be contacted via phone (312) 413-7425.

Contact Information

Primary practice address
3240 W Division St Chicago IL 60651-2405
Phone: (312) 413-7425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 041.430862 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.024040 Illinois

Profile Details

NPI number 1467123059
LBN Legal business name Kordzikowski, Mitchell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2021
Last updated Apr 28th, 2023 - about last year

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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