Kowalski, John Oscar

Kowalski, John Oscar is an individual health care provider with primary practice located at 5669 W. 95Th St. , Oak Lawn IL 60453-6501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kowalski, John Oscar can be contacted via phone (708) 499-4400.

Contact Information

Primary practice address
5669 W. 95Th St. Oak Lawn IL 60453-6501
Fax: (708) 499-4407
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-075588 Illinois

Profile Details

NPI number 1396711875
LBN Legal business name Kowalski, John Oscar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Feb 27th, 2012 - about 12 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 1396711875 NPPES
Illinois MEDICAID 036-075588
Illinois Other 31602848

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