Kosierkiewicz, Tomasz A

Kosierkiewicz, Tomasz A is an individual health care provider with primary practice located at 2605 Main St , Mount Vernon IL 62864-2372. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Kosierkiewicz, Tomasz A can be contacted via phone (618) 242-7350.

Contact Information

Primary practice address
2605 Main St Mount Vernon IL 62864-2372
Phone: (618) 242-7350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036104826 Illinois

Profile Details

NPI number 1487645776
LBN Legal business name Kosierkiewicz, Tomasz A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Feb 21st, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487645776 NPPES
Illinois Other 463609 HEALTHLINK
Illinois Other 04130321 HEALTHLINK
Illinois Other 130024619 HEALTHLINK
Illinois MEDICAID 0361048261 HEALTHLINK
Illinois Other 078159 HEALTHLINK

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